Healthcare Provider Details

I. General information

NPI: 1033032545
Provider Name (Legal Business Name): RILEY GRIMLEY MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 WEBB PL STE 310
DOVER NH
03820-2463
US

IV. Provider business mailing address

51 WEBB PL STE 310
DOVER NH
03820-2463
US

V. Phone/Fax

Practice location:
  • Phone: 603-842-4924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4215
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: