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General NPI Number Information
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NPI Number | 1962306209
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Entity Type | Organization
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Legal Business Name | COZY NEST OCCUPATIONAL THERAPY BY BETHANY A. GRUSKIN, PC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 275 W LEXINGTON DR APT A525
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City | GLENDALE
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State | CA
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Zip | 91203-3118
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Country | US
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Telephone | 845-826-2988
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Fax |
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Provider Business Mailing Address
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Address Line | 213 N GLENDALE AVE # 1016
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City | GLENDALE
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State | CA
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Zip | 91206-4455
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | BETHANY GRUSKIN
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Credential | PHD, MSOT, OTR/L
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Telephone | 845-826-2988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State | NULL
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