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Individual

ALISON ELIZABETH GRYGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2401 BLANDING AVE, ALAMEDA, CA 94501-1503
(510) 522-1084
Mailing address
29516 E HARBOR DR, MILLSBORO, DE 19966-6855

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5731
CA
224Z00000X
Occupational Therapy Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
224Z00000X
TYPE 1
Enumeration date
10/26/2022
Last updated
05/12/2025
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