Individual
GRACE HICKS-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3860 S MERIDIAN STE 3, PUYALLUP, WA 98373-3757
(253) 840-1840
Mailing address
4700 SETON CENTER PKWY STE 175, AUSTIN, TX 78759-4107
(512) 439-1940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61582259
—
Other
Enumeration date
02/06/2021
Last updated
08/09/2024
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