Individual
GRACELLE QUINDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009886
AZ
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTH-009886
ARIZONA BOARD OF OCCUPATIONAL THERAPY EXAMINERS
AZ
Enumeration date
12/30/2024
Last updated
01/16/2025
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