Individual
GRAYCE HALLIE GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 SAINT LOUIS AVE STE 102, FORT WORTH, TX 76104-3377
(817) 921-5020
Mailing address
1000 SAINT LOUIS AVE STE 102, FORT WORTH, TX 76104-3377
(817) 921-5020
(817) 921-5022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217129
TX
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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