Individual
GRACE A. TUMMINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
255 TEXAS ST, RAPID CITY, SD 57701-7319
(601) 597-2483
Mailing address
24 NOTTAWAY TRL, NATCHEZ, MS 39120-2170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2911
MS
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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