Individual
MRS. DOREEN BETH GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
977 MAIN ST, WALTHAM, MA 02451-7406
(781) 891-0452
Mailing address
5 ELENA RD, LEXINGTON, MA 02421-7419
(781) 862-4517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
198
MA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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