Organization
GRACE LEGASPI CORPORATION
Active
Other names
GRACE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE GAN LEGASPI (PT)
(714) 454-5808
Entity
Organization
Contact information
Practice address
9361 BOLSA AVE STE 104, WESTMINSTER, CA 92683-5953
(714) 454-5808
Mailing address
9353 BOLSA AVE # D15, WESTMINSTER, CA 92683-5951
(714) 454-5808
(714) 775-7590
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT27812
CA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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