Bethany Lauren Grigsby, OTR/L
Occupational Therapist, Pediatrics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1669948972
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1669948972
- Entity type
- Individual (NPI-1)
- Name
- Bethany Lauren Grigsby
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2018
- Last updated
- Oct 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | OT16397 | CA | Yes |
Practice location
4650 W Sunset BlvdLos Angeles, CA 90027-6062
Phone 323-361-2118
Mailing address
39 S Grand Oaks AvePasadena, CA 91107-4113
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