Individual
MRS. ELISA K. GROSSBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
82 W OAKWOOD AVE, LIVINGSTON, NJ 07039-4027
(973) 994-4302
Mailing address
82 W OAKWOOD AVE, LIVINGSTON, NJ 07039-4027
(973) 994-4302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00376000
NJ
225XP0200X
Pediatric Occupational Therapist
00376000
NJ
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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