| NPI | 1487907986 |
|---|---|
| Other Name | GRACE NEURO |
| Entity Type | Organization |
| Authorized Contact | LAURIE B STRATTON President/Owner 520-429-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: AZ 6794) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2013-07-29 |