Individual
MRS. GRACE CAROLINA SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
26B PROSPECT ST, PALISADES PARK, NJ 07650-1129
(201) 543-7553
Mailing address
26B PROSPECT ST, PALISADES PARK, NJ 07650-1129
(201) 543-7553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010405-01
NY
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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