Individual
MS. JILL GRIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142
(978) 232-0332
(978) 232-1103
Mailing address
500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142
(978) 232-0332
(978) 232-1103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3368
MA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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