Individual
GRACE KATHERYN TRAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 KENTUCKY AVE, SOUTH HAVEN, MI 49090-9607
(269) 639-7319
Mailing address
706 KENTUCKY AVE, SOUTH HAVEN, MI 49090-9607
(616) 450-2156
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/14/2023
Last updated
06/12/2024
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