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Individual

ANGELA GRACIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4015 S ARIZONA AVE STE 2, CHANDLER, AZ 85248-4586
(480) 426-8019
Mailing address
9245 BOCA CHICA BLVD, BROWNSVILLE, TX 78521-8480
(956) 465-7077

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
62331
OR
225100000X
Physical Therapist
Primary
LPT-034576
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500723260
OR
Enumeration date
09/12/2017
Last updated
03/03/2026
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