Individual
KENEITHIA S GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13550 S JOG RD STE 100, DELRAY BEACH, FL 33446-3808
(561) 496-5144
Mailing address
571 NW 188TH ST, MIAMI, FL 33169-3942
(305) 527-8611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21010
FL
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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