Individual
MAGGIE LYNN GROSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
(314) 447-9711
Mailing address
931 GLEN ARDEN CT APT 204, O FALLON, MO 63366-7620
(573) 576-8604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023011015
MO
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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