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1346489259
KELLY D GRANTHAM
CHARLOTTE, NC
NPI
1346489259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 6924)
Enumeration Date
2009-02-17
Last Update Date
2009-02-17
Business Address
-- KELLY D GRANTHAM OTR/L
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4645
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Mailing Address
-- KELLY D GRANTHAM OTR/L
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4645
Copy
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