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Individual

MRS. DRESDEN LOUISE GROVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
618 SOUTH MAIN ST, REIDSVILLE, NC 27320-0618
(336) 951-4557
(336) 951-4546
Mailing address
7114 N RIVER RD, OAK RIDGE, NC 27310-9827
(336) 951-4557
(336) 951-4546

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1600
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010567
NC
Enumeration date
10/24/2007
Last updated
10/24/2007
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