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Kimberly Grant, OTD

NPI 1336789353 · on the registry since 2020 · sole proprietor

Practice

Address
4878 W Park Cir
Atlanta, GA 30349
Phone
(843) 254-7671

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225XE0001X
225XP0019X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia