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Individual

LENA LERNER GRODIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, MS, OTR/L

Contact information

Practice address
300 PEARL AVE, SAN CARLOS, CA 94070-4667
(650) 394-5521
Mailing address
300 PEARL AVE, SAN CARLOS, CA 94070-4667
(650) 394-5521

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17224
CA

Other

Enumeration date
09/27/2018
Last updated
09/27/2018
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