Individual
LEZIREL GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1707 FOUNTAINVIEW DR, MANSFIELD, TX 76063-5091
(817) 752-9662
Mailing address
1427 SPRING WILLOW DR, ARLINGTON, TX 76018-1862
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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