Individual
MRS. PAOLA VANESA GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(610) 861-0100
Mailing address
235 W LANCASTER AVE, DEVON, PA 19333-1560
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT024749
PA
Other
Enumeration date
02/07/2016
Last updated
02/07/2016
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