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Individual

JESSICA LYNN GROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-7840
Mailing address
643 KAUHIKOA RD, HAIKU, HI 96708-4805
(808) 344-1282

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
015255
NY
225X00000X
Occupational Therapist
10536
CA
225X00000X
Occupational Therapist
Primary
OT-579
HI

Other

Enumeration date
11/04/2008
Last updated
07/27/2015
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