Individual
GRACIA ANN SICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 COUNTY ROAD F E, WHITE BEAR LAKE, MN 55110-3935
(651) 415-5500
Mailing address
2540 COUNTY ROAD F E, WHITE BEAR LAKE, MN 55110-3935
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104275
MN
Other
Enumeration date
07/25/2012
Last updated
04/27/2026
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