Organization
LIFEONPURPOSEOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIA LEE GROTTOLA OTR/L (OCCUPATIONAL THERAPIST)
(609) 956-0751
Entity
Organization
Contact information
Practice address
240 US ROUTE 1 # B1-1002, FALMOUTH, ME 04105-1367
(609) 956-0751
Mailing address
149 STEELMANVILLE RD, EGG HARBOR TOWNSHIP, NJ 08234-7507
(609) 204-4711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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