Individual
JILL GRAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78078 COUNTRY CLUB DR STE 205, BERMUDA DUNES, CA 92203-8175
(760) 345-9934
Mailing address
78078 COUNTRY CLUB DR STE 205, BERMUDA DUNES, CA 92203-8175
(760) 345-9934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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