Individual
CARRIE ELLA GRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
509 13TH ST, STE B, BELLE PLAINE, IA 52208-1521
(319) 434-6150
(319) 434-6188
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1932
(630) 928-5032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004679
IA
Other
Enumeration date
06/03/2011
Last updated
03/14/2016
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