Individual
GRACE MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5960 GETWELL RD STE 212D, SOUTHAVEN, MS 38672-7320
(662) 228-0130
Mailing address
3719 HAYNES RD, BARTLETT, TN 38133-2721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-4100
MS
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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