MEDICARE: GRACE CATHERINE LINK OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1316771728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE CATHERINE LINK OTR

Provider Business Mailing Address
First Line	:	2431 W BLOOD RD APT L
Second Line	:
City	:	EAST AURORA
State	:	NY
Zip	:	14052-1132
Country	:	US
Telephone Number	:	716-946-6289
Fax Number	:

Provider Business Practice Location Address
First Line	:	2431 W BLOOD RD APT L
Second Line	:
City	:	EAST AURORA
State	:	NY
Zip	:	14052-1132
Country	:	US
Telephone Number	:	716-946-6289
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	08/28/2024

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Directions to “ GRACE CATHERINE LINK OTR” Practice Location

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