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Individual

JOSE GRAZETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
851S RL THORNTON FREEWAY, SUITE 100, DALLAS, TX 75203-2962
(214) 941-3666
(214) 941-4009
Mailing address
851S RL THORNTON FREEWAY, SUITE 100, DALLAS, TX 75203-2962
(214) 941-3666
(214) 941-4009

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107969
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107969
CARLA GRAVENKEMPER, OTR
TX
Enumeration date
09/18/2008
Last updated
09/18/2008
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