Provider Demographics
NPI:1134364862
Name:GROSSI, LORI ANN (OTR)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:GROSSI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HIDDEN POND CT
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9590
Mailing Address - Country:US
Mailing Address - Phone:347-524-7053
Mailing Address - Fax:
Practice Address - Street 1:105 HIDDEN POND CT
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-9590
Practice Address - Country:US
Practice Address - Phone:347-524-7053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1038427225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist