Individual
KATRINA MAE GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
6286 BRIARCREST AVE, SUITE 200, MEMPHIS, TN 38120-4023
(901) 259-1600
(901) 259-2785
Mailing address
PO BOX 8888, BELFAST, ME 04915-8888
(901) 259-4260
(901) 259-2785
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3941
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4286434
BCBS TN
TN
01
—
620819926
BCBS MS
MS
01
—
620819926
CIGNA
TN
01
—
9552651
AETNA
TN
Enumeration date
01/17/2011
Last updated
05/17/2011
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