GRACE PORTOGHESE

DADE CITY, FL
NPI1699108126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT 15904)
Enumeration Date2013-08-20
Last Update Date2023-07-13
Business Address
GRACE PORTOGHESE OT
13540 17TH ST
DADE CITY, FL 33525-5244
Phone number: 352-437-5151
Mailing Address
GRACE PORTOGHESE OT
13540 17TH ST
DADE CITY, FL 33525-5244
Phone number: 352-437-5151