Individual
DOLORES GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 RIVER RD, EAST CHINA, MI 48054-2909
(810) 329-5385
(810) 329-8919
Mailing address
6740 SWAN CREEK RD, FAIR HAVEN, MI 48023
(586) 725-1792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201003223
—
MI
Enumeration date
01/23/2019
Last updated
01/23/2019
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