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Organization

GROW ON THE GO THERAPY SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIA JEAN-MICHEL OTR/L (OWNER /OCCUPATIONAL THERAPIST)
(857) 891-0189
Entity
Organization

Contact information

Practice address
126 WARWICK ST, LAWRENCE, MA 01841-3248
(857) 891-0189
Mailing address
126 WARWICK ST, LAWRENCE, MA 01841-3248
(857) 891-0189

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XE0001X
Environmental Modification Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XH1300X
Human Factors Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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