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Individual

MRS. CHRISTINE LYNN GRAMAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
437 WEST ARDICE AVE, EUSTIS, FL 32726
(352) 505-4754
Mailing address
437 WEST ARDICE AVE, EUSTIS, FL 32726-6816
(352) 505-4754

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT7647
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887155800
FL
Enumeration date
01/24/2007
Last updated
04/29/2022
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