Individual
GISSEL GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4951 CHAMBERS STREET, NEW YORK, NY 10007-1209
(212) 639-9675
Mailing address
199 SHERMAN AVE APT 3F, NEW YORK, NY 10034-3306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015755
NY
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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