Individual
MS. ROXANNA LEE GRIMALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4501 OLD SPARTANBURG RD STE 7, TAYLORS, SC 29687-4105
(864) 292-5154
Mailing address
4501 OLD SPARTANBURG RD STE 7, TAYLORS, SC 29687-4105
(864) 292-5154
(864) 292-5151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3525
SC
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467469635
—
SC
05
—
225XPO200X
—
SC
Enumeration date
08/01/2006
Last updated
10/02/2018
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