Individual
JENNIFER GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MINE HILL RD, OTISVILLE, NY 10963-3108
(329) 223-7898
Mailing address
7 MINE HILL RD, OTISVILLE, NY 10963-3108
(329) 223-7898
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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