Individual
MS. GRACE KATHRYN HAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
920 S CHELTON RD, COLORADO SPRINGS, CO 80910-2311
(719) 473-1283
Mailing address
6808 64TH PL NE UNIT A, MARYSVILLE, WA 98270-5313
(719) 433-0192
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32000654A
IN
224Z00000X
Occupational Therapy Assistant
Primary
6975
CA
224Z00000X
Occupational Therapy Assistant
OC 60414053
WA
224Z00000X
Occupational Therapy Assistant
OTA 0000532
CO
Other
Enumeration date
11/17/2010
Last updated
07/20/2025
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