Individual
JOSEPH TIMOTHY GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
411 ARBOR CREST BLVD, ANTIOCH, TN 37013-5366
(615) 506-1395
Mailing address
411 ARBOR CREST BLVD, ANTIOCH, TN 37013-5366
(615) 506-1395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2353
TN
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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