Individual
DIANNA CAROL GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DI
Contact information
Practice address
2703 ROE CREEK RD, CATLETTSBURG, KY 41129
(606) 686-1114
(606) 686-1343
Mailing address
2703 ROE CREEK RD, CATLETTSBURG, KY 41129
(606) 686-1114
(606) 686-1343
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1746
FIRST STEP PROVIDER
KY
Enumeration date
10/02/2006
Last updated
12/29/2015
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