Individual
GRACIE OTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10885 W 47TH AVE, WHEAT RIDGE, CO 80033-2631
(720) 324-0934
Mailing address
10885 W 47TH AVE, WHEAT RIDGE, CO 80033-2631
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CO
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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