# GROTON INTEGRATED THERAPIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013332386
- **Authorized official:** LISA ANNE HAMILTON-GOSCOMBE PT (EXECUTIVE DIRECTOR OWNER)
- **Authorized official phone:** (978) 448-4001

## Contact information

- **Practice address:** 497 MAIN ST, SUITE E, GROTON, MA 01450-1298
- **Practice address phone:** (978) 448-4001
- **Practice address fax:** (978) 448-4002
- **Mailing address:** 497 MAIN ST, SUITE E, GROTON, MA 01450-1298
- **Mailing address phone:** (978) 448-4001
- **Mailing address fax:** (978) 448-4002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2014
- **Last updated:** 02/24/2014