Individual
MRS. GRACE MURAOKA-GOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
471 W LAMBERT RD, SUITE 106, BREA, CA 92821-3921
(714) 255-8877
(714) 255-8878
Mailing address
200 NEWPORT CENTER DR, #213, NEWPORT BEACH, CA 92660-7501
(949) 644-1322
(949) 644-0316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 4044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FA366X
MEDICARE PTAN @ ANAHEIM
CA
01
—
FA366Y
MEDICARE PTAN @ BREA
CA
Enumeration date
09/20/2006
Last updated
12/01/2021
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