Individual
LISA M. GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17705 RED OAK DR, HOUSTON, TX 77090-7706
(281) 440-0966
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209366
TX
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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