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1205814498
LISA GRONDAHL
HUNTINGTON, NY
NPI
1205814498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Additional Taxonomies
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date
2006-01-06
Last Update Date
2019-04-22
Business Address
LISA GRONDAHL OTR
4 GOLDFINCH LN
HUNTINGTON, NY 11743-6505
Phone number: 631-692-4655
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Mailing Address
LISA GRONDAHL OTR
4 GOLDFINCH LN
HUNTINGTON, NY 11743-6505
Phone number: 631-692-4655
Copy
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