Individual
MRS. KATHLEEN E. GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15 S MAIN ST, SUITE 220, JAMESTOWN, NY 14701-6626
(716) 488-2322
(716) 488-2574
Mailing address
3584 MARY ELLEN DR, BEMUS POINT, NY 14712-9501
(716) 386-6340
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006452-1
NY
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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