Individual
CARENGRACE UY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10122 ALBEE AVE, TUSTIN, CA 92782-1439
(573) 639-9324
Mailing address
10122 ALBEE AVE, TUSTIN, CA 92782-1439
(573) 639-9324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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