Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Pam Grissom, OTR

Individual provider Pediatric Occupational Therapist · NPI 1972231603

MS. Pam Grissom, OTR is a Pediatric Occupational Therapist in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2400 N Carroll Ave
Southlake, TX 76092-3105
Phone: (817) 949-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 111643 (TX)

Record details

NPI number1972231603
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022

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