Individual
KEELEY GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
368 MINOT AVE STE 3, AUBURN, ME 04210-4331
(207) 333-5022
Mailing address
40 BEAVER WOODS DR, DURHAM, ME 04222-5491
(413) 313-2744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
12224
MA
225XP0200X
Pediatric Occupational Therapist
Primary
3369
ME
225XP0200X
Pediatric Occupational Therapist
4757
CT
Other
Enumeration date
04/11/2016
Last updated
12/21/2023
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