Individual
VICTORIA LYNN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
603 W CAROLINA AVE, HARTSVILLE, SC 29550-4443
(843) 332-3600
Mailing address
17597 HIGHWAY 102, PATRICK, SC 29584-4247
(843) 307-2030
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
.6002
SC
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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