Individual
CAROL MEREDETH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 ALBANY AVE, WEST HARTFORD, CT 06117-2503
(860) 236-3557
Mailing address
8 DRUMMER TRL, BLOOMFIELD, CT 06002-1801
(860) 206-2593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000482
CT
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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