Individual
MRS. KIMBERLEY MICHEAL GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30 NATHAN DR, THORNTON, NH 03285-6838
(603) 391-5851
Mailing address
30 NATHAN DR, THORNTON, NH 03285-6838
(603) 391-5851
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0178
NH
225200000X
Physical Therapy Assistant
Primary
0296
NH
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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