Peter Coleman Grader, OTR/L | |
4109 Westridge Ave, Fort Worth, TX 76116-7403 | |
(817) 813-9431 | |
Not Available |
Full Name | Peter Coleman Grader |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 4109 Westridge Ave, Fort Worth, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245005099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 102507 (Texas) | Secondary |
225X00000X | Occupational Therapist | 102507 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Peter Coleman Grader, OTR/L 417 Dove Ln, Fort Worth, TX 76108-3793 Ph: (817) 223-7734 | Peter Coleman Grader, OTR/L 4109 Westridge Ave, Fort Worth, TX 76116-7403 Ph: (817) 813-9431 |
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› Verified 5 days ago