Individual
MS. GINA MIA DI GRAZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, COMS, CLVT
Contact information
Practice address
165 1/2 CHATTANOOGA ST, SAN FRANCISCO, CA 94114-3438
(415) 846-6266
Mailing address
165 1/2 CHATTANOOGA ST, SAN FRANCISCO, CA 94114-3438
(415) 846-6266
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
AVCREP CERT. 4898
—
225X00000X
Occupational Therapist
OT5361
CA
225XL0004X
Low Vision Occupational Therapist
OT 5361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4898
ACVREP
—
01
—
5466
ACVREP
—
01
—
OT 5361
CA BOARD OF OT
CA
Enumeration date
03/06/2007
Last updated
01/14/2016
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