Individual
MRS. JACQUELINE MARIE GROMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OT/L
Contact information
Practice address
27525 ENTERPRISE CIR W, STE. 101C, TEMECULA, CA 92590-4884
(714) 943-5295
Mailing address
36247 VENCE DR, MURRIETA, CA 92562-8458
(714) 943-5295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004738
MO
225X00000X
Occupational Therapist
Primary
7086
CA
Other
Enumeration date
10/28/2008
Last updated
02/17/2011
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