Individual
JOAN DIVINAGRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 201, HAGERSTOWN, MD 21742-6797
(301) 714-4025
Mailing address
11110 MEDICAL CAMPUS RD STE 201, HAGERSTOWN, MD 21742-6797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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