Individual
LORIE GRGURICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 BOSTWICK AVE, DAYTONA BEACH, FL 32118-4808
(386) 453-8001
Mailing address
344 BOSTWICK AVE, DAYTONA BEACH, FL 32118-4808
(386) 453-8001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT12134
FL
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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