# GRACE LEGASPI CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRACE PHYSICAL THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023180080
- **Authorized official:** GRACE GAN LEGASPI (PT)
- **Authorized official phone:** (714) 454-5808

## Contact information

- **Practice address:** 9361 BOLSA AVE STE 104, WESTMINSTER, CA 92683-5953
- **Practice address phone:** (714) 454-5808
- **Mailing address:** 9353 BOLSA AVE \# D15, WESTMINSTER, CA 92683-5951
- **Mailing address phone:** (714) 454-5808
- **Mailing address fax:** (714) 775-7590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | PT27812 | CA | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020