Individual
SHATARI GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
59 EXECUTIVE PARK S, ATLANTA, GA 30329-2208
(678) 551-8213
Mailing address
5915 CRESCENT RIDGE CT, LITHONIA, GA 30058-8370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09509
MD
225X00000X
Occupational Therapist
OT007367
GA
Other
Enumeration date
08/05/2019
Last updated
10/14/2022
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