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Individual

MRS. DAWN GRONDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
117 AUBURN RD, PERU, ME 04290-3024
(207) 562-4207
Mailing address
PO BOX 364, BETHEL, ME 04217-0364

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2319
ME

Other

Enumeration date
08/26/2010
Last updated
12/18/2014
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