Grimes, Darlene L

Grimes, Darlene L is an sole proprietor health care provider with primary practice located at 110 Mordington Avenue Jefferson County Board Of Education, Charles Town WV 25414. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Grimes, Darlene L can be contacted via phone (304) 725-9741.

Contact Information

Primary practice address
110 Mordington Avenue Jefferson County Board Of Education Charles Town WV 25414
Phone: (304) 725-9741
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 992 West Virginia

Profile Details

NPI number 1831356823
LBN Legal business name Grimes, Darlene L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated May 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831356823 NPPES
West Virginia MEDICAID 7502092000

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