Mary Grace Lagare, PTR

NPI #1487080842 in Fremont, Michigan

Provider Information

NPI Number: 1487080842
Entity Type: Individual
Name: Mary Grace Lagare, PTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PTR
Enumeration Date: Sep 17, 2013
Last Updated: Sep 17, 2013

Practice Location

Address: 4554 W 48TH ST
City: Fremont
State: Michigan
ZIP Code: 49412-8721
Phone: (619) 838-1728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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