Individual
GRACE WOLLWEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2579 OCEAN AVE FL 3, BROOKLYN, NY 11229-4552
(646) 780-0926
Mailing address
2111 ABBOT AVE, MERRICK, NY 11566-2403
(516) 477-1199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027366
NY
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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