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Individual

JUDITH GRUSHKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
884 LONGACRE AVE, VALLEY STREAM, NY 11581-3510
(516) 698-9171
Mailing address
884 LONGACRE AVE, VALLEY STREAM, NY 11581-3510
(151) 669-8917

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012398
NY

Other

Enumeration date
11/07/2008
Last updated
10/26/2021
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