Individual
EMMA GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
919 DRY BRANCH RD, FORRESTON, TX 76041-2707
(972) 921-5200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211038
TX
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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