Individual
FELICIA GRAYBEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1804 OAKLEY SEAVER DR STE E, CLERMONT, FL 34711-1925
(813) 381-4944
Mailing address
336 BROAD ST STE 203, ROME, GA 30161-3006
(813) 381-4944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
420874
OR
225X00000X
Occupational Therapist
Primary
OT20073
FL
225XH1200X
Hand Occupational Therapist
420874
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420874
OR OT LICENSE
OR
05
—
500786931
—
OR
Enumeration date
06/28/2019
Last updated
05/26/2023
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