Larry James Gronholm, COTA
NPI #1013468305 in Auburndale, Florida
Provider Information
- NPI Number
- 1013468305
- Entity Type
- Individual
- Name
- Larry James Gronholm, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Oct 20, 2016
- Last Updated
- Oct 20, 2016
Practice Location
- Address
- 621 RAYMOND LOOP
- City
- Auburndale
- State
- Florida
- ZIP Code
- 33823-2899
- Phone
- (863) 307-4142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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