Individual
GRACE KATHERINE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
Mailing address
1601 CONESTOGA DR SE, ALBUQUERQUE, NM 87123-4269
(216) 612-4145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22010
NM
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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