Individual
BOBBY JAMES GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 2ND ST, MONTEAGLE, TN 37356-7415
(423) 443-7082
Mailing address
26 2ND ST, MONTEAGLE, TN 37356-7415
(423) 443-7082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5685
TN
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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