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1588085591 NPI number — LINDA C. GRENUS OTR/L,CHT

NPI Number: 1588085591
Health Care Provider/Practitioner: LINDA C. GRENUS OTR/L,CHT

Information about “1588085591” NPI (LINDA C. GRENUS OTR/L,CHT) exists in 1588085591 in HTML format HTML  |  1588085591 in plain Text format TXT  |  1588085591 in PDF (Portable Document Format) PDF  |  1588085591 in an XML format XML  formats.

NPI Number : 1588085591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588085591",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRENUS",
    "FirstName": "LINDA",
    "MiddleName": "C.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L,CHT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "850 BETHANY MOUNTAIN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESHIRE",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06410-3572",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-301-5505",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "48 WELLINGTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06461-1641",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-301-5505",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/17/2013",
    "LastUpdateDate": "12/17/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225XH1200X",
        "TaxonomyName": "Hand Occupational Therapist",
        "LicenseNumber": "000017",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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