Individual
ELISE JULIA GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
1404 S DIXIE HWY UNIT 2310, LANTANA, FL 33462-5524
(407) 286-9502
Mailing address
1404 S DIXIE HWY UNIT 2103, LANTANA, FL 33462-5520
(231) 907-8860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21228
FL
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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