Individual
MR. WILLIAM J GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
104 W MARKET ST, SUITE B, OSAGE CITY, KS 66523-1277
(785) 528-1123
(785) 528-4123
Mailing address
104 W MARKET ST, SUITE B, OSAGE CITY, KS 66523-1277
(785) 528-1123
(785) 528-4123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103801
KS
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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