Individual
GRACE E KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005074
IA
225100000X
Physical Therapist
Primary
PTL.0014907
CO
Other
Enumeration date
02/26/2013
Last updated
04/03/2019
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