Individual
TARA LEE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
626 TRAIL AVE, FREDERICK, MD 21701-4934
(301) 662-1997
Mailing address
1024 HUNTERS KNOLL, MYERSVILLE, MD 21773-6400
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
12/04/2008
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