Individual
MRS. GRACE ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 E HARFORD ST, MILFORD, PA 18337-1028
(800) 773-9044
Mailing address
108 HIGH ST, OGDENSBURG, NJ 07439-1218
(201) 779-3610
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09145100
NJ
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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