Individual
JENNIFER DARLENE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 RIPLEY 160E-13, FAIRDEALING, MO 63939-8051
(573) 382-6828
Mailing address
305 RIPLEY 160E-13, FAIRDEALING, MO 63939-8051
(573) 382-6828
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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