Individual
VIRGINIA GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1500 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4656
(765) 430-2065
Mailing address
4603 MANCHINEEL LN, MONROE, NC 28110-9197
(765) 430-2065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7171
NC
Other
Enumeration date
05/16/2008
Last updated
05/29/2015
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