Individual
DEVORA JACABSON GROHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ROSE PARK CRES, LAKEWOOD, NJ 08701-4867
(732) 833-3723
(888) 247-4390
Mailing address
15 ROSE PARK CRES, LAKEWOOD, NJ 08701-4867
(732) 833-3723
(888) 247-4390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
016799
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
G7528165005882
NJ
Other
Enumeration date
07/19/2010
Last updated
09/09/2013
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