Individual
GRACE HIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6679
Mailing address
1033 CLARK HILL DR, NORRISTOWN, PA 19403-1385
(610) 331-1259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA067089
PA
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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