Grace Bonus Valid NPI

Individual provider · Physical Therapist · Woodhaven, NY

NPI

1043769821

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

016417 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2016-09-22

Last updated

2016-09-22