=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467406785
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GRACE KATHRYN FERRARO OTR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13601 BROWNING AVE
-----------------------------------------------------
City | TUSTIN
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92780-5212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-832-4685
-----------------------------------------------------
Fax | 714-573-4562
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 586 LAS PALMAS DR
-----------------------------------------------------
City | IRVINE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92602-2315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-355-1556
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | OT 8212
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225XP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Occupational Therapist
-----------------------------------------------------
License Number | OT 8212
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------