Individual
MRS. MARIA GRACIA BRUCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
122 DARK HOLW, PIKEVILLE, KY 41501-1646
(606) 437-4826
Mailing address
122 DARK HOLW, PIKEVILLE, KY 41501-1646
(606) 437-4826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004795
KY
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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