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Individual

DANIELLE GRAZDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
7424 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2554
(505) 797-5505
(505) 797-5510
Mailing address
8100 M-4 WYOMING BLVD NE, STE. 261, ALBUQUERQUE, NM 87113-1963
(505) 797-5505
(505) 797-5510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4474
NM

Other

Enumeration date
06/23/2014
Last updated
06/25/2014
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