Organization · NPI-2

Grace Therapies, LLC

Clinic/Center · Fort Pierce, FL

NPI number1194030155

StatusActive

Last updated in NPPESAug 22, 2024

Details

NPI: 1194030155
Entity type: Organization (NPI-2)
Legal business name: Grace Therapies, LLC
Organization subpart: No
Enumeration date: Aug 15, 2010
Certification date: Aug 22, 2024
Last updated: Aug 22, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes
224Z00000X	Occupational Therapy Assistant	–	–
225100000X	Physical Therapist	–	–
2251P0200X	Physical Therapist, Pediatrics	–	–
225200000X	Physical Therapy Assistant	–	–
225X00000X	Occupational Therapist	–	–
225XP0200X	Occupational Therapist, Pediatrics	–	–
2355S0801X	Specialist/Technologist, Speech-Language Assistant	–	–
235Z00000X	Speech-Language Pathologist,	–	–

Practice location

7664 Germany Canal Rd
Fort Pierce, FL 34987-3300

Phone 772-577-6964 · Fax 772-461-9954

Mailing address

7664 Germany Canal Rd
Fort Pierce, FL 34987-3300

Phone 772-577-6964 · Fax 772-461-9954

Authorized official

Rhonda K. Drawdy
Managing Member/Owner
7722015942

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