Individual
ADRIENN JACKSON GRIMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
235 OLD WATERFORD RD NW, LEESBURG, VA 20176-2117
(703) 779-3733
Mailing address
1228 F AVE, WEST COLUMBIA, SC 29169-6131
(803) 917-1881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4623
SC
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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