Individual
BRIAN L GRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2600 N WYATT DR, TUCSON, AZ 85712-6106
(520) 324-3600
(520) 324-3129
Mailing address
2600 N WYATT DR, TUCSON, AZ 85712-6106
(520) 324-3600
(520) 324-3129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4324
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528804
—
AZ
Enumeration date
09/28/2006
Last updated
07/09/2007
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