Individual
MRS. MARY GRACE Y SOLIS-ALTAVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5860 GOLDEN GATE PKWY, NAPLES, FL 34116-7459
(239) 455-9525
Mailing address
3713 OAK HOLLOW DR, NEWBERG, OR 97132-7478
(503) 554-9318
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT23901
FL
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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