Individual
MR. AL GROHOLSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.O.T.
Contact information
Practice address
50 FAIRWAY DR, DEBARY, FL 32713-2323
(561) 818-0691
(561) 790-1918
Mailing address
50 FAIRWAY DR, DEBARY, FL 32713-2323
(561) 818-0691
(561) 790-1918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 8550
FL
225X00000X
Occupational Therapist
Primary
OT8550
FL
Other
Enumeration date
07/07/2006
Last updated
11/18/2013
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