Individual
GRACE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
641 OLD ROUTE 17, MONTICELLO, NY 12701-7014
(845) 794-1400
Mailing address
197 CARDINAL DR, MONTGOMERY, NY 12549-1734
(845) 649-5034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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