Individual
GRACIA FOURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14055 E QUINCY AVE, AURORA, CO 80015-1146
(303) 578-0996
Mailing address
9220 WILDE LN UNIT 108, PARKER, CO 80134-5598
(443) 934-5941
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015208
CO
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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