Individual
GRACE GOLLIDAY APPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2005 RIVER ST, SUSANVILLE, CA 96130-4524
(530) 257-5341
Mailing address
464-625 DOWNS DR, JANESVILLE, CA 96114-8600
(909) 557-8978
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3224
CA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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