Individual
GRACE FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4535 W CHOLLA ST, GLENDALE, AZ 85304-3535
(602) 896-5100
Mailing address
2181 HARVEY RD, GRAND ISLAND, NY 14072-2165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009334
AZ
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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