Individual
GRACE LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 MALONEY RD, ELKTON, MD 21921-6337
(410) 392-9400
Mailing address
120 ASCOT CT, BEAR, DE 19701-2364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30652
MD
Other
Enumeration date
11/04/2025
Last updated
11/06/2025
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