Individual
DEBORAH GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4710 TIMBER TRAIL DR, MIDDLETOWN, OH 45044-5349
(513) 423-9496
(513) 727-3806
Mailing address
4710 TIMBER TRAIL DR, MIDDLETOWN, OH 45044-5349
(513) 423-9496
(513) 727-3806
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285905
—
OH
Enumeration date
10/25/2010
Last updated
10/25/2010
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