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Individual

MS. GRACE ANNETTA KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O T R

Contact information

Practice address
1200 WATERS PLACE, SECOND FLOOR, BRONX, NY 10461-0000
(718) 536-3251
(718) 536-3240
Mailing address
8234 167TH ST, JAMAICA, NY 11432-1222
(718) 926-0236
(718) 969-3063

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
006580-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
006580-1
NY

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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