Individual
MS. DEBORAH CARMEN GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 255-9200
Mailing address
4106 MASIRA CT, MELBOURNE, FL 32904-1227
(321) 536-2477
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10747
FL
Other
Enumeration date
11/02/2010
Last updated
04/21/2015
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