Individual
HALEY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2637 IRA E WOODS AVE STE 1020, GRAPEVINE, TX 76051-9010
(817) 865-5447
(817) 704-2598
Mailing address
15333 HENRIETTA BEND DR, ROANOKE, TX 76262-6594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121915
TX
Other
Enumeration date
10/04/2023
Last updated
03/27/2025
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