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NPI Code Detail

MEDICARE: JOANNE GRENIER MOT, OTR/L

MEDICARE:   JOANNE  GRENIER  MOT, 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 Therapist2515NH

General Provider Information

NPI Number : 1720447337
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE GRENIER MOT, OTR/L
Provider Business Mailing Address
First Line : 180 DANA RD
Second Line :
City : ORANGE
State : MA
Zip : 01364-9558
Country : US
Telephone Number : 978-895-6854
Fax Number :
Provider Business Practice Location Address
First Line : 136 ARCH ST
Second Line :
City : KEENE
State : NH
Zip : 03431-2186
Country : US
Telephone Number : 603-357-3902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2016
Last Update Date : 02/11/2016

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Directions to “ JOANNE GRENIER MOT, OTR/L” Practice Location

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