Individual
WENDY JENKINS GRIMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1315 WALNUT ST, TEXARKANA, TX 75501-4446
(903) 794-2705
(903) 793-1203
Mailing address
712 LAFAYETTE 23, BUCKNER, AR 71827-9514
(870) 533-2073
(870) 533-2073
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
113278
TX
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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