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Individual
MS. GINA MIA DI GRAZIA
Active
Individual
MS. GINA MIA DI GRAZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, COMS, CLVT
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
AVCREP CERT. 4898
NULL
225X00000X
Occupational Therapist
OT5361
CA
225XL0004X
Low Vision Occupational Therapist
OT 5361
CA
Other
Enumeration date
03/06/2007
Last updated
01/14/2016
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