Individual
GRACE RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5859 HARBOUR VIEW BLVD STE 100, SUFFOLK, VA 23435-3015
(757) 686-0205
Mailing address
5859 HARBOUR VIEW BLVD #100, SUFFOLK, VA 23435
(757) 686-0205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208710
VA
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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