Provider Demographics
NPI:1154022853
Name:GRACE, DANIEL-HANNAH (OTD)
Entity type:Individual
Prefix:
First Name:DANIEL-HANNAH
Middle Name:
Last Name:GRACE
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 NEW JERSEY AVE SE APT 822
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-5072
Mailing Address - Country:US
Mailing Address - Phone:505-977-2948
Mailing Address - Fax:
Practice Address - Street 1:809 NEW JERSEY AVE SE APT 822
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-5072
Practice Address - Country:US
Practice Address - Phone:505-977-2948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119009747225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist