Individual
REGGIE D GRIMES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
LAKESHORE HEARTLAND, 3025 FERNBROOK LN, NASHVILLE, TN 37214
(615) 316-3000
Mailing address
220 BONNACLIFF CT, HERMITAGE, TN 37076-1001
(615) 519-7425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
517
TN
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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