Organization
OCCUPATIONAL THERAPY SERVICES OF PEDIATRIC REHAB NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY K GRINOVICS BS (PRESIDENT)
(856) 983-6160
Entity
Organization
Contact information
Practice address
475 OLD MARLTON PIKE W, SUITE 1, MARLTON, NJ 08053-2098
(856) 983-6160
(856) 983-6162
Mailing address
475 OLD MARLTON PIKE W, SUITE 1, MARLTON, NJ 08053-2098
(856) 983-6160
(856) 983-6162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00154400
NJ
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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