Provider Demographics
NPI:1316771728
Name:LINK, GRACE CATHERINE (OTR)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:CATHERINE
Last Name:LINK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2431 W BLOOD RD APT L
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-1132
Mailing Address - Country:US
Mailing Address - Phone:716-946-6289
Mailing Address - Fax:
Practice Address - Street 1:2431 W BLOOD RD APT L
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-1132
Practice Address - Country:US
Practice Address - Phone:716-946-6289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist