Individual
GRACE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
501 JOHN MAHAR HWY STE 200, BRAINTREE, MA 02184-6563
(781) 384-0500
(781) 848-0501
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25109
PT LICENSE
MA
Enumeration date
02/12/2021
Last updated
07/25/2025
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