Individual
MARY K GRINOVICS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
475 OLD MARLTON PIKE W, SUITE 1, MARLTON, NJ 08053-2098
(856) 983-6160
(856) 983-6162
Mailing address
26 7TH AVE, GLENDORA, NJ 08029-1520
(856) 906-5493
(856) 983-6579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00154400
NJ
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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