Individual
GRACE LOPEZ DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N JACKSON ST, GLENDALE, CA 91206-4380
(818) 241-3111
Mailing address
223 N JACKSON ST, GLENDALE, CA 91206-4380
(818) 241-3111
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6881
CA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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