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Individual

MS. GRACE C SHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
115 CUMBERLAND PLZ, CROSSVILLE, TN 38555-4292
(931) 787-1244
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16202
TN
225100000X
Physical Therapist
8692
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079TY
BCBS
NC
Enumeration date
01/31/2008
Last updated
11/21/2024
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