Individual
GRACE REAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25000 CALLE DE LOS CABALLEROS BLVD, LAGUNA HILLS, CA 92653-7299
(949) 690-5082
Mailing address
22501 CHASE APT 11308, ALISO VIEJO, CA 92656-7021
(949) 690-5082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14889
CA
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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