IndividualActive
Susan Grogan, OTR/L
NPI 1679061808 · Gerontology Occupational Therapist · St. Louis, MO
Provider details
- NPI number
- 1679061808
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 000578 (MO)
Practice location
2806 Flamewood Drive
St. Louis, MO 63129
Phone: (314) 339-7430
Fax: (314) 449-9173
Mailing address
2806 Flamewood Drive
St. Louis, MO 63129
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2018-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.