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Individual

GRAYCIE PAIGE GRAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTAS

Contact information

Practice address
14002 E 21ST ST STE 650, TULSA, OK 74134-1432
(918) 274-7902
(918) 512-2120
Mailing address
17784 S HIGHWAY 48, BRISTOW, OK 74010-2119
(918) 998-4902

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2666
OK

Other

Enumeration date
07/20/2024
Last updated
07/20/2024
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