Individual
GRACE ELLEN RENTSCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
411 W ROAD 1 N, CHINO VALLEY, AZ 86323-5943
(928) 636-8521
Mailing address
1785 W ROAD 1 N, CHINO VALLEY, AZ 86323-5846
(928) 830-3821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014017
AZ
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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