Individual
GRATIA MICHELLE KOVATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7947 TARTAN FIELDS DR, DUBLIN, OH 43017-8778
(937) 620-0018
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
286056
KY
224Z00000X
Occupational Therapy Assistant
Primary
OTA005909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201735659
—
OH
05
—
286056
—
KY
Enumeration date
06/06/2023
Last updated
10/19/2023
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