Individual
GRACE KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 E GLENROSA AVE, PHOENIX, AZ 85018-3911
(952) 818-4513
Mailing address
240 W OSBORN RD UNIT 5046, PHOENIX, AZ 85013-3963
(952) 818-4513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008789
AZ
225X00000X
Occupational Therapist
—
AZ
Other
Enumeration date
04/11/2022
Last updated
04/10/2024
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