Organization
GRACE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY M GRACE (OWNER)
(603) 707-2071
Entity
Organization
Contact information
Practice address
169 DANIEL WEBSTER HWY, SUITE 1, MEREDITH, NH 03253-5648
(603) 707-2071
Mailing address
169 DANIEL WEBSTER HWY, SUITE 1, MEREDITH, NH 03253-5648
(603) 707-2071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0178
NH
225100000X
Physical Therapist
—
NH
225200000X
Physical Therapy Assistant
0296
NH
225700000X
Massage Therapist
2410M
NH
225X00000X
Occupational Therapist
Primary
417
NH
Other
Enumeration date
04/16/2014
Last updated
04/22/2014
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