Individual
TARA SHANETTE GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2950 W PARK DR, CINCINNATI, OH 45238-3599
(513) 451-8900
Mailing address
6035 PAWNEE DR, CINCINNATI, OH 45224-2311
(513) 288-5905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003401
OH
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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