Individual
GRACE ANN BARANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
284 RIDGE RD, LANSING, NY 14882-8930
(607) 533-3020
Mailing address
2839 WHITE BIRCH LN, AUBURN, NY 13021-5626
(315) 730-7052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63-P131177-01
NY
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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