Individual
REBECCA L GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
789 TENNESSEE ST, SUITE 101, BOLIVAR, TN 38008-2441
(731) 658-2206
(731) 659-2061
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2893
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
10/22/2008
Last updated
10/22/2008
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