Individual
AMY GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 FLEMING DR, GLENMOORE, PA 19343-1417
(610) 942-9018
Mailing address
21 FLEMING DR, GLENMOORE, PA 19343-1417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003152L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008643090001
—
PA
Enumeration date
02/22/2007
Last updated
02/16/2014
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