Individual
MISS BIANCA I GRAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
9601 SOUTHBROOK DR, JACKSONVILLE, FL 32256-0601
(904) 641-7501
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13426
FL
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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