Individual
VALERIE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1603 N CHAPEL HILL ST, WICHITA, KS 67206-5506
(316) 440-6551
Mailing address
1603 N CHAPEL HILL ST, WICHITA, KS 67206-5506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00779
KS
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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