Individual
GRACE MARIE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6804 S KINGS RANCH RD STE 103, GOLD CANYON, AZ 85118-2960
(480) 983-8600
Mailing address
6804 S KINGS RANCH RD STE 103, GOLD CANYON, AZ 85118-2960
(864) 350-9688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6996
ID
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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