Individual
COURTNEY GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5960 GETWELL RD, SOUTHAVEN, MS 38672-7318
(662) 228-0130
Mailing address
3615 HIGHWAY 4 W, HOLLY SPRINGS, MS 38635-7205
(901) 552-0484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4044
MS
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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