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1669500427
KENNETH SIMON GRIMES
CONWAY, AR
NPI
1669500427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AR OTR758)
Enumeration Date
2007-03-01
Last Update Date
2007-07-09
Business Address
Mr. KENNETH SIMON GRIMES OTR
1700 SOUTH BLVD
CONWAY, AR 72034-6455
Phone number: 501-329-8102
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Mailing Address
Mr. KENNETH SIMON GRIMES OTR
48 MIDDLE RD
CONWAY, AR 72032-9017
Phone number:
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