Individual
MRS. STACY LYNN GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1900 RICHMOND RD, LEXINGTON, KY 40502-1204
(859) 554-8185
Mailing address
1900 RICHMOND RD, LEXINGTON, KY 40502-1204
(859) 554-8185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
301673
KY
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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