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Individual

BONNIE M GRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
210 S SUNSET DR, STE B, SEDONA, AZ 86336-5406
(928) 282-2520
(928) 282-2895
Mailing address
PO BOX 334, SEDONA, AZ 86339-0334
(928) 282-2520
(928) 282-2895

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
3435
CO
261QP2000X
Physical Therapy Clinic/Center
Primary
6015
AZ

Other

Enumeration date
08/23/2006
Last updated
12/14/2007
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