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1003694746
GRACE FEDERICO
GLENDALE, AZ
NPI
1003694746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ OTH-009334)
Enumeration Date
2023-09-14
Last Update Date
2023-09-14
Business Address
GRACE FEDERICO OTR/L
4535 W CHOLLA ST
GLENDALE, AZ 85304-3535
Phone number: 602-896-5100
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Mailing Address
GRACE FEDERICO OTR/L
2181 HARVEY RD
GRAND ISLAND, NY 14072-2165
Phone number:
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