Organization
GRACE OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN GRACE MS OTR (OWNER)
(313) 802-6926
Entity
Organization
Contact information
Practice address
27525 MARTINDALE RD, NEW HUDSON, MI 48165-9601
(313) 802-6926
Mailing address
27525 MARTINDALE RD, NEW HUDSON, MI 48165-9601
(313) 802-6926
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
10/30/2010
Last updated
11/08/2010
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