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Individual

ELIZABETH A GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CKTP

Contact information

Practice address
571 S FLOYD ST, SUITE 100, LOUISVILLE, KY 40202-3828
(502) 852-7897
(502) 852-2911
Mailing address
571 S FLOYD ST, SUITE 100, LOUISVILLE, KY 40202-3828
(502) 852-7897
(502) 852-2911

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
R2523
KY

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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