Individual
JONATHAN DAVID GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9208 GRAND CORDERA PKWY, COLORADO SPRINGS, CO 80924-7022
(719) 522-2000
Mailing address
9208 GRAND CORDERA PKWY, COLORADO SPRINGS, CO 80924-7022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0010390
CO
Other
Enumeration date
06/20/2018
Last updated
08/12/2021
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