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Individual

MRS. PAMELA GRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
29 BRUCE ST, STAFFORD, VA 22554-6581
(540) 720-7929
Mailing address
29 BRUCE ST, STAFFORD, VA 22554-6581
(540) 720-7929

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002618
VA

Other

Enumeration date
03/25/2016
Last updated
03/25/2016
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