Provider Demographics
NPI:1134763980
Name:GROSSI, EMILY RACHEL (OTR/L)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:RACHEL
Last Name:GROSSI
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 1:11351 WOODGLEN DR APT W602
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-6010
Mailing Address - Country:US
Mailing Address - Phone:908-239-8990
Mailing Address - Fax:
Practice Address - Street 1:5268 NICHOLSON LN STE A
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1010
Practice Address - Country:US
Practice Address - Phone:301-770-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08871225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics