Individual
BETHANY LAUREN GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2118
Mailing address
39 S GRAND OAKS AVE, PASADENA, CA 91107-4113
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT16397
CA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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