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Grace Brack, COTA
Specialist in Middletown, New York
NPI 1619372984

Grace Brack is a Specialist based in Middletown, NY. Grace Brack practices in Middletown, NY and has the professional credentials of COTA. The NPI Number for Grace Brack is 1619372984 and holds a License No. 008505-1 (New York).

The current practice location address for Grace Brack is 2277 Goshen Tpke, Middletown, NY and can be reached out via phone at 845-692-4391.

Location: 2277 Goshen Tpke, Middletown, NY, 10941-4032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619372984
Provider Name
Grace Brack
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
2277 Goshen Tpke, Middletown, NY, 10941-4032
Phone Number
845-692-4391
Fax Number
Provider Enumeration Date
10/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2277 Goshen Tpke
City
Middletown
State
New York
Zip
10941-4032
Phone Number
845-692-4391
Fax Number
person
Provider Business Mailing Address Details
Address
2277 Goshen Tpke
City
Middletown
State
New York
Zip
10941-4032
Phone Number
845-692-4391
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
008505-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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