Individual
COLLEEN GRAJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
207 OTTAWA ST, JOHNSTOWN, PA 15904-2337
(814) 266-8621
Mailing address
5035 CLAIRTON BLVD, PITTSBURGH, PA 15236-2103
(412) 440-0142
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006095
PA
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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