JORDAN ALLEN GRANTZ

RICHMOND, VA
NPI1295221109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131001954)
Enumeration Date2018-07-03
Last Update Date2018-07-03
Business Address
JORDAN ALLEN GRANTZ COTA/L
2125 HILLIARD RD
RICHMOND, VA 23228-4600
Phone number: 804-266-9666
Mailing Address
JORDAN ALLEN GRANTZ COTA/L
9421 EVERETTE CT
SPOTSYLVANIA, VA 22553-1978
Phone number:
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