Individual
BENITA GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7317 PINNACLE OAKS DR, MEMPHIS, TN 38125-3648
(901) 647-0207
Mailing address
7317 PINNACLE OAKS LANE, MEMPHIS, TN 38125
(901) 647-0207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1695
AR
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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