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Carol M Granger, O.T.

Occupational Therapist, Pediatrics in Chesterfield, VA. Individual provider (NPI-1).

NPI number1750418331
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1750418331
Entity type
Individual (NPI-1)
Name
Ms. Carol M Granger
Credential
O.T.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 28, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics0119000563VAYes

Practice location

6801 Lucy Corr Ct
Chesterfield, VA 23832-6657

Phone 804-748-1227 · Fax 804-717-6659

Mailing address

6801 Lucy Corr Ct
Chesterfield, VA 23832-6657

Phone 804-748-1227 · Fax 804-717-6659

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