Individual
MS. PIM GRACE DAGATAN PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 S CREASY LN STE 2160, LAFAYETTE, IN 47905-0763
(765) 607-6918
Mailing address
252 PARADISE PKWY, OSWEGO, IL 60543-8244
(331) 725-4868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015059A
IN
Other
Enumeration date
06/30/2023
Last updated
02/20/2026
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