Individual
DARLENE L GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
110 MORDINGTON AVENUE, JEFFERSON COUNTY BOARD OF EDUCATION, CHARLES TOWN, WV 25414
(304) 725-9741
Mailing address
610 WV AVENUE, MARTINSBURG, WV 25401
(304) 267-3595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
992
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7502092000
—
WV
Enumeration date
05/19/2008
Last updated
05/19/2008
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