Individual
GRACE INCLEDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2031 PLANK RD, FREDERICKSBURG, VA 22401-5103
(540) 373-1301
Mailing address
230 RIDGE RD, HIGHLAND MILLS, NY 10930-2103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216123
VA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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