Individual
PHILIP J GRACEFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 CLUBHOUSE DR, LEOMINSTER, MA 01453-5106
(617) 633-4847
Mailing address
72 CLUBHOUSE DR, LEOMINSTER, MA 01453-5106
(617) 633-4847
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8522
MA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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