| NPI | 1255355947 |
|---|---|
| Other Name | REGINA LYNN GRIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner (Licence: MS 74539) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MS PT2444) |
| 225100000X Physical Therapist (Licence: MS PT2444) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-02-10 |