Provider Demographics
NPI:1841619228
Name:GRENIER, LAURENE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LAURENE
Middle Name:
Last Name:GRENIER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 GREEN LEAVES DR UNIT 419
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2666
Mailing Address - Country:US
Mailing Address - Phone:413-256-4516
Mailing Address - Fax:
Practice Address - Street 1:24 GREEN LEAVES DR UNIT 419
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2666
Practice Address - Country:US
Practice Address - Phone:413-256-4516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3840225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision