DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACIE GUM, MOTR/L

Active Sole Proprietor

GRACIE GUM, MOTR/L is a Occupational Therapist healthcare provider located in NEW MILTON, West Virginia. NPI 1710767132 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · NEW MILTON, WV

Registration Details

NPI Number
1710767132
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2023 (2.8295360993327 yrs)
Last Updated
Oct 3, 2023
License
2385 (WV)
Sole Proprietor
Yes

Practice Information

Address
1622 INDIAN FORK RD
NEW MILTON, WV, 264116185
Browse WV providers · Browse ZIP 26411
Phone
3048716568
Primary Specialty
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.