Organization
GRACE NEURO REHAB & WELLNESS, PC
Active
Other names
GRACE Neuro
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE B STRATTON PT, MSPT, NCS, ATP (PRESIDENT/OWNER)
(520) 429-9475
Entity
Organization
Contact information
Practice address
7628 N LA CHOLLA BLVD, TUCSON, AZ 85741-4201
(520) 297-4723
(520) 297-4726
Mailing address
7628 N LA CHOLLA BLVD, TUCSON, AZ 85741-4201
(520) 297-4723
(520) 297-4726
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
6794
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952677213
INDIVIDUALMEDICARE NPI
AZ
Enumeration date
10/22/2012
Last updated
07/29/2013
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