Individual provider · Type 1 NPI

Maria Astrid Kim Jimenez Grace, PTA

Contractor · Long Beach, CA

NPI number 1710371992 Active

Practice location

330 Golden Shr, Suite 250
Long Beach, CA 90802-4246

Call (562) 256-7550 Map

Fax (800) 985-5002

Mailing address

8091 Constantine Dr Apt 4
Huntington Beach, CA 92646-1726

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XAT9671 (CA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1710371992

Maria Astrid Kim Jimenez Grace, PTA's National Provider Identifier is 1710371992, issued on Mar 25, 2015. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Long Beach, CA. The record was last updated on Mar 25, 2015.