Individual
GRACE CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2900 PINOLE VALLEY RD # C209, PINOLE, CA 94564-1429
(510) 502-7163
Mailing address
5558 CLAREMONT AVE, OAKLAND, CA 94618-1117
(510) 502-7163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24485
CA
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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