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Individual

KATRINA MAE GRUBB

Active
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Individual

KATRINA MAE GRUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

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
Update your record

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