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Organization
LIFESTYLE OCCUPATIONAL THERAPY, PLLC
Active
Organization
LIFESTYLE OCCUPATIONAL THERAPY, PLLC
Active
Other names
David Grover OTR L
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P. GROVER OTR L (OWNER)
(315) 422-8822
Entity
Organization
Contact information
Practice address
101 1ST ST, LIVERPOOL, NY 13088-5108
(315) 422-8822
Mailing address
921 DEWITT ST #2, SYRACUSE, NY 13203
(315) 422-8822
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
007946
NY
225X00000X
Occupational Therapist
Primary
012318
NY
Other
Enumeration date
05/18/2010
Last updated
10/31/2013
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