Individual
GRACE MARIE LINDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1337 S GILBERT RD STE 105, MESA, AZ 85204-6074
(480) 530-0890
Mailing address
10438 E KNOWLES AVE, MESA, AZ 85209-1538
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-050103
AZ
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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