Individual
MRS. KASEY GREBOSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3434 HEATH DRIVE, DELTONA, FL 32725-3097
(386) 848-2749
Mailing address
3434 HEATH DR, DELTONA, FL 32725-3097
(386) 848-2749
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11891
FL
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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