Individual
MS. DEANNA RAE GROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1109 ASHLEY WAY, MOSES LAKE, WA 98837
(509) 766-8249
(509) 766-8249
Mailing address
1109 ASHLEY WAY, MOSES LAKE, WA 98837
(509) 766-8249
(509) 766-8249
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
602664277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7683865
—
WA
Enumeration date
05/16/2007
Last updated
07/31/2015
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