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Individual

ALEXIS GRANDJEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
Mailing address
15553 WINDING CREEK DR, DUMFRIES, VA 22025-3065
(571) 438-1636

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010901
VA

Other

Enumeration date
04/28/2025
Last updated
04/28/2025
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