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Contact Information

DONNA B GRACE, PT
40 MILLIKEN LN
SAINT AUGUSTINE, FL32080-8425
 Phone: 404-630-3595
 Fax: 404-630-3595
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Neurology

2251N0400X 65 Physical Therapist in Private Practice
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DONNA B GRACE · (Female)

NPI # 1114978756
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/15/2006
Last updated 07/30/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PT28203
  • GA License # PT005235
  • GA Medicaid 000902767A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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