Individual
LUIS GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
281 BROADWAY, 2ND FLOOR, NEW YORK, NY 10007-2056
(646) 596-7386
(646) 869-1215
Mailing address
281 BROADWAY, 2ND FLOOR, NEW YORK, NY 10007-2056
(646) 596-7386
(646) 869-1215
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
043140
NY
Other
Enumeration date
12/02/2018
Last updated
12/07/2021
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