Individual
MELISSA LYNN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
66 IROQUOIS DR, ORCHARD PARK, NY 14127-1118
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
01355201
NY
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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