Individual
MRS. CASSIE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
261 EVENTIDE DR, ORANGE PARK, FL 32003-8187
(904) 477-4935
Mailing address
261 EVENTIDE DR, ORANGE PARK, FL 32003-8187
(904) 477-4935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10187
FL
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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