Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grace Brack, COTA

Individual provider Specialist · NPI 1619372984

Grace Brack, COTA is a Specialist in Middletown, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

2277 Goshen Tpke
Middletown, NY 10941-4032
Phone: (845) 692-4391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 008505-1 (NY)

Record details

NPI number1619372984
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedOctober 29, 2014
Last updated in NPPESOctober 29, 2014
Mailing address2277 Goshen Tpke, Middletown, NY 10941-4032

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