Individual
MCKENNA GRACE ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007843
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15040632
CAQH NUMBER
—
Enumeration date
12/08/2020
Last updated
02/16/2026
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