Organization
GRAND THERAPY LLC
Active
Other names
Grand Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SHARRI TOWNSEND M.S., OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(757) 803-8731
Entity
Organization
Contact information
Practice address
3701 DURLEY LN # ME, GWYNN OAK, MD 21207-3855
(757) 803-8731
Mailing address
3701 DURLEY LN, GWYNN OAK, MD 21207-3855
(757) 803-8731
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07253
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL
—
01
—
1356849624
PROVIDER NPI
MD
Enumeration date
02/22/2018
Last updated
05/28/2020
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