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1972231603
PAM GRISSOM
SOUTHLAKE, TX
NPI
1972231603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: TX 111643)
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
Ms. PAM GRISSOM OTR
2400 N CARROLL AVE
SOUTHLAKE, TX 76092-3105
Phone number: 817-949-7050
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Mailing Address
Ms. PAM GRISSOM OTR
2400 N CARROLL AVE
SOUTHLAKE, TX 76092-3105
Phone number: 817-846-1370
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