Individual
ELIZABETH GRUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3085 41ST ST # 2, ASTORIA, NY 11103-3431
(818) 640-4037
Mailing address
3085 41ST ST # 2, ASTORIA, NY 11103-3431
(818) 640-4037
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008860-1
NY
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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