Individual
MARY MIRIAM GRUNFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
Mailing address
41 GLENDALE CIR, WARE, MA 01082-1551
(413) 967-7401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6050
MA
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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