Individual
GRACE SUE YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2985 BEAR ST, COSTA MESA, CA 92626-4300
(714) 424-5000
Mailing address
2985 BEAR ST, COSTA MESA, CA 92626-4300
(714) 424-5000
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8871
CA
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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