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Individual
LORI D GRISMORE
Active
Individual
LORI D GRISMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 14931
FL
225X00000X
Occupational Therapist
Primary
OT003659
OH
Other
Enumeration date
03/08/2006
Last updated
05/21/2013
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