Individual
MARSHA KAY GRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12251 HIGHWAY 41 N STE A, EVANSVILLE, IN 47725-7043
(812) 868-1224
(186) 671-5973
Mailing address
110 SWEDE POINT DR, MADRID, IA 50156-7614
(217) 491-0838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000862
IA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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