Individual
KATHLEEN RAE GRINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01743
IA
225X00000X
Occupational Therapist
1201
NE
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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