Individual
KARI ANN GRACIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 788-2171
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 788-2171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009174
CT
225100000X
Physical Therapist
Primary
15073
MA
Other
Enumeration date
09/28/2010
Last updated
08/15/2011
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