Miranda Clara Grimes
Miranda Clara Grimes is an Occupational Therapist in Private Practice in Lafayette, Louisiana. Qualified in 2021, 5 years ago. Licensed in Louisiana.
- Years since qualifying
- 5
- Licensed in
- LA
- In the registry since
- 2022
Practice location Address checks out
105 Running Deer DrLafayette, LA 70503-6602
Phone: (318) 359-8994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 329834 (LA) |
|---|
Record details
| NPI number | 1447999404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 29, 2022 |
| Last updated in NPPES | May 29, 2022 |
| Certification date | May 29, 2022 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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