Individual
KATHRYN GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
585 NUT TREE CT, VACAVILLE, CA 95687-3353
(707) 449-8000
Mailing address
585 NUT TREE CT, VACAVILLE, CA 95687-3353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3869
CA
224Z00000X
Occupational Therapy Assistant
3926
AL
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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