Individual
KELLY GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
620 N DIERS AVE, SUITE 300, GRAND ISLAND, NE 68803-4984
(308) 382-0344
(308) 382-3241
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 382-0344
(308) 382-3241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
901057
NE
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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