Individual
GRACE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2100 EXETER RD STE 200, GERMANTOWN, TN 38138-3966
(901) 522-6440
(901) 757-2507
Mailing address
2100 EXETER RD STE 200, GERMANTOWN, TN 38138-3966
(901) 522-6440
(901) 757-2507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4170
MS
225X00000X
Occupational Therapist
Primary
8100
TN
Other
Enumeration date
08/14/2024
Last updated
08/29/2024
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