Individual
ADRIANNE GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 S RANDOLPH AVE APT 307, BREA, CA 92821-5746
(714) 423-6687
Mailing address
375 S RANDOLPH AVE APT 307, BREA, CA 92821-5746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1987
CA
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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