Individual
KRISTI RAE GRAINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 W CHAPMAN RD, OVIEDO, FL 32765-8895
(407) 579-9181
Mailing address
11461 LAKE BUTLER BLVD, WINDERMERE, FL 34786-7814
(407) 579-9181
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735932081
—
FL
Enumeration date
12/19/2022
Last updated
12/19/2022
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