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Individual

TOD T GRAPES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S. EX. SCIENCE

Contact information

Practice address
169 MANHATTAN AVE., #6H, NEW YORK CITY, NY 10025-3248
(212) 932-9557
Mailing address
169 MANHATTAN AVE, #6H, NEW YORK, NY 10025-3248
(212) 932-9557

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
N/A
NY

Other

Enumeration date
01/19/2010
Last updated
01/19/2010
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