Individual
AMBER GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 BIRCH RD, LEBANON, PA 17042-9123
(717) 273-2647
(717) 274-3750
Mailing address
1125 BIRCH RD, LEBANON, PA 17042-9123
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006490
PA
Other
Enumeration date
09/26/2011
Last updated
04/03/2012
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