Most Relevant Information
Provider Data
| NPI Number: | 1003400292 |
| Provider Name: | JEFFREY A GRACIE |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | TE012721 |
Most Important Dates
| Enumeration Date: | 02/27/2021 |
| Last Updated: | 02/27/2021 |
Provider Practice Location
348R DARK SHADE DR
WINDBER
PA
159636804
Practice Location Phone/Fax
| Phone: | 8146911948 |
| Fax: |
Provider Mailing Location
348R DARK SHADE DR
WINDBER
PA
159636804
Provider Mailing Phone/Fax
| Phone: | 8146911948 |
| Fax: |