Stephanie Marie Gravelle

NPI #1801004478 in Escanaba, Michigan

Provider Information

NPI Number: 1801004478
Entity Type: Individual
Name: Stephanie Marie Gravelle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2900 3RD AVENUE SOUTH
City: Escanaba
State: Michigan
ZIP Code: 49829
Phone: (906) 786-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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