Julie Diana Gronboldt

NPI #1023621802 in Midlothian, Virginia

Provider Information

NPI Number: 1023621802
Entity Type: Individual
Name: Julie Diana Gronboldt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 31, 2020
Last Updated: Aug 31, 2020

Practice Location

Address: 14201 BROAD OAKS CT
City: Midlothian
State: Virginia
ZIP Code: 23112-4618
Phone: (804) 312-6154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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