Individual
DEVONTE' DEMEZ GRINSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2540 CARMICHAEL WAY, CARMICHAEL, CA 95608-5314
(916) 482-0465
Mailing address
5501 BRAMPTON WAY, SACRAMENTO, CA 95835-1519
(318) 794-6146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120118
TX
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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