Individual
BENJAMIN GLENN GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
17270 RED OAK DR STE 200, HOUSTON, TX 77090-2632
(281) 440-6960
(281) 440-6205
Mailing address
17270 RED OAK DR STE 200, HOUSTON, TX 77090-2632
(281) 440-6960
(281) 440-6205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119584
OT LICENSE
TX
Enumeration date
02/22/2019
Last updated
02/22/2019
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