Individual
GRACE SUNDARRAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13139 W LINEBAUGH AVE STE 201, TAMPA, FL 33626-4498
(813) 932-3013
(813) 932-3016
Mailing address
13139 W LINEBAUGH AVE STE 201, TAMPA, FL 33626-4498
(813) 932-3013
(813) 932-3016
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
SI1550
FL
Other
Enumeration date
03/26/2009
Last updated
07/21/2009
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