Individual
MISS GRACE NICOLE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2647 WILLIAMS GRANT ST, SUGAR LAND, TX 77479-1375
(832) 729-2647
Mailing address
2647 WILLIAMS GRANT ST, SUGAR LAND, TX 77479-1375
(832) 729-2647
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2178845
TX
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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