Individual
GRACIE BEISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 NW 47TH AVE, COCONUT CREEK, FL 33063-1812
(330) 519-1763
Mailing address
3405 NW 47TH AVE, COCONUT CREEK, FL 33063-1812
(330) 519-1763
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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