Organization
GRACE REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER JOHN SMITH CPO, LPO (CHIEF OPERATIONS OFFICER)
(469) 989-8283
Entity
Organization
Contact information
Practice address
624 KRONA DR STE 110, PLANO, TX 75074-8325
(409) 626-1491
Mailing address
624 KRONA DR STE 110, PLANO, TX 75074-8325
(409) 626-1491
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177478802
—
TX
Enumeration date
02/10/2025
Last updated
07/08/2025
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