Individual
GRACE DIRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
Mailing address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
FL
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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