Individual
MRS. BETHANY MAE GRAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
601 S 8TH ST, ROCKY FORD, CO 81067-2013
(719) 254-7423
Mailing address
PO BOX 980, LA JUNTA, CO 81050-0980
(719) 383-2623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
234345
CO
Other
Enumeration date
12/08/2009
Last updated
04/15/2024
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