Grace Marie Banquicio
NPI #1235644022 in Winter Haven, Florida
Provider Information
- NPI Number
- 1235644022
- Entity Type
- Individual
- Name
- Grace Marie Banquicio
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Dec 3, 2017
- Last Updated
- Dec 3, 2017
Practice Location
- Address
- 3050 WOODMONT AVE
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33884-3800
- Phone
- (863) 324-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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