Individual
MRS. KATRINA I GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7501 W 15TH AVE, GARY, IN 46406-2267
(219) 977-2092
Mailing address
2422 KNIGHTSBRIDGE LN, NEW LENOX, IL 60451-3480
(602) 568-6390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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