Individual
DARRION GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6105 PORTICO DR APT 1322, FORT WORTH, TX 76132-4181
(407) 437-9141
Mailing address
6105 PORTICO DR APT 1322, FORT WORTH, TX 76132-4181
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212846
TX
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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