Monique Celeste Gravley, PTA

NPI #1952889776 in Salem, Utah

Provider Information

NPI Number: 1952889776
Entity Type: Individual
Name: Monique Celeste Gravley, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 2, 2018
Last Updated: Aug 2, 2018

Practice Location

Address: 1133 S 300 E
City: Salem
State: Utah
ZIP Code: 84653-5649
Phone: (801) 960-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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