Individual
LORI-LYNN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 W TOWN ST, NORWICH, CT 06360-2262
(860) 887-2614
Mailing address
65 CHARLOTTE DR, PLAINFIELD, CT 06374-2202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001250
CT
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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