Individual provider · Type 1 NPI

Marty Wade Grooms, OTR L

Occupational Therapist · Jackson, TN

NPI number 1477636447 Active

Practice location

24 Physicians Dr
Jackson, TN 38305-2070

Fax (731) 410-2304

Mailing address

1122 Crazy Doe Rd
Lexington, TN 38351-4718

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X02904 (TN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1477636447

Marty Wade Grooms, OTR L's National Provider Identifier is 1477636447, issued on Oct 23, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jackson, TN. The record was last updated on Oct 13, 2011.