Individual
GRACE THERESA HARKNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S UNIVERSITY PARKS DR, WACO, TX 76706-1731
(609) 532-4338
Mailing address
2255 S UNIVERSITY PARKS DR APT 25B, WACO, TX 76706-6599
(609) 532-4338
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
03/06/2020
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