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1972004141
KELSEY BOLTON GRANTHUM
MONTGOMERY, AL
NPI
1972004141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 4651)
Enumeration Date
2018-02-23
Last Update Date
2020-11-09
Business Address
KELSEY BOLTON GRANTHUM OTR/L
340 MENDEL PKWY W
MONTGOMERY, AL 36117-5406
Phone number: 334-532-0220
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Mailing Address
KELSEY BOLTON GRANTHUM OTR/L
4049 WARES FERRY RD
MONTGOMERY, AL 36109-2916
Phone number:
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