Individual
VICTORIA GRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
241 E 58TH ST APT 2D, NEW YORK, NY 10022-1239
(610) 390-1718
Mailing address
241 E 58TH ST APT 2D, NEW YORK, NY 10022-1239
16103901718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010292
NY
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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