Individual
NICOLE GROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2611 PRINGLE RD SE, SALEM, OR 97302-1533
(860) 613-9930
Mailing address
2611 PRINGLE RD SE, SALEM, OR 97302-1533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
469582
OR
Other
Enumeration date
05/01/2022
Last updated
04/19/2024
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