Individual
KRISTEN GRAUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6918 67TH PL, GLENDALE, NY 11385-6625
(917) 685-0671
Mailing address
6918 67TH PL, GLENDALE, NY 11385-6625
(917) 685-0671
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01086301
NY
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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