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Individual

KRISTEN GRIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Contact information

Practice address
8507 MAPLEVILLE RD, BOONSBORO, MD 21713-1818
(301) 733-6284
Mailing address
4974 SMALL GAINS WAY, FREDERICK, MD 21703-7352
(240) 644-2331

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07989
MD

Other

Enumeration date
02/27/2019
Last updated
05/20/2024
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