Individual
ANGELA GRACIA
Active
Individual
ANGELA GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
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
Update your record
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