Provider Demographics
NPI:1568529709
Name:GRICE, KIMATHA OXFORD (OTR, CHT)
Entity Type:Individual
Prefix:PROF
First Name:KIMATHA
Middle Name:OXFORD
Last Name:GRICE
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 TALLOW TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1641
Mailing Address - Country:US
Mailing Address - Phone:210-567-8886
Mailing Address - Fax:210-567-8893
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:MC 6245
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-8886
Practice Address - Fax:210-567-8893
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101127225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand