Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT010001299 | DC |
NPI | 1649841578 |
---|---|
Provider Name | Valerie Grinman |
First Address | Arlington, VA 22209-2789 |
Second Address | Washington, DC 20010-2921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2021 |
Last Update Date | 01/07/2021 |