Most Relevant Information
Provider Data
| NPI Number: | 1003694746 |
| Provider Name: | GRACE FEDERICO OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OTH-009334 |
Most Important Dates
| Enumeration Date: | 09/14/2023 |
| Last Updated: | 09/14/2023 |
Provider Practice Location
4535 W CHOLLA ST
GLENDALE
AZ
853043535
Practice Location Phone/Fax
| Phone: | 6028965100 |
| Fax: |
Provider Mailing Location
2181 HARVEY RD
GRAND ISLAND
NY
140722165
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |