Individual
GRACIE WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2735 OAKLAND AVE, GARLAND, TX 75041-3909
(214) 227-5333
Mailing address
2735 OAKLAND AVE, GARLAND, TX 75041-3909
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1112480
TX
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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