Individual
MR. HENRY CARROL GRADY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2001 ROYALL AVE, GOLDSBORO, NC 27534-7407
(919) 731-5900
Mailing address
2181 NC HIGHWAY 55 E, MOUNT OLIVE, NC 28365-8035
(919) 580-8213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10210
NC
225X00000X
Occupational Therapist
Primary
15630
NC
Other
Enumeration date
12/19/2017
Last updated
04/21/2026
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