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Individual

MR. JAMES EDWARD GRACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 996-6763
Mailing address
13 JORDAN LN, EAST FREETOWN, MA 02717-1036
(508) 763-2961

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6848
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6848
STATE LICENSCE
MA
01
PT00800
STATE LICENSE
RI
Enumeration date
03/20/2007
Last updated
07/08/2007
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