Individual
MS. MODENA GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 TOWNSHIP ROAD 336, IRONTON, OH 45638-8553
(740) 442-1259
Mailing address
441 TOWNSHIP ROAD 336, IRONTON, OH 45638-8553
(740) 442-1259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A5223
KY
224Z00000X
Occupational Therapy Assistant
Primary
OTA.03417
OH
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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