Individual
GRACE HOFLEN-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Mailing address
192 KENNEDY DR APT 606, MALDEN, MA 02148-3411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119009214
VA
225X00000X
Occupational Therapist
Primary
15332
MA
Other
Enumeration date
10/07/2021
Last updated
07/11/2024
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