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NPI Code Detail

MEDICARE: ROBIN GROTH OTR/L

MEDICARE: ROBIN GROTH OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist008108OH

General Provider Information

NPI Number : 1720404460
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN GROTH OTR/L
Provider Business Mailing Address
First Line : 1499 EDGEFIELD RD
Second Line :
City : LYNDHURST
State : OH
Zip : 44124-2844
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5311 LONGWOOD AVE
Second Line :
City : PARMA
State : OH
Zip : 44134-3800
Country : US
Telephone Number : 440-842-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2014
Last Update Date : 03/05/2014

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Directions to “ ROBIN GROTH OTR/L” Practice Location

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