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Individual

KAITLYN GRIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1595 S CALUMET RD, CHESTERTON, IN 46304-2388
(844) 896-0235
Mailing address
4805 LYNN LN, VALPARAISO, IN 46383-1600

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003701A
IN

Other

Enumeration date
11/07/2022
Last updated
11/07/2022
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