Grace, Jeannette Elaine

Grace, Jeannette Elaine is an individual health care provider with primary practice located at 795 Farmers Ln Suite 10, Santa Rosa CA 95405-6718. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Grace, Jeannette Elaine can be contacted via phone (707) 571-7615.

Contact Information

Primary practice address
795 Farmers Ln Suite 10 Santa Rosa CA 95405-6718
Phone: (707) 571-7615
Fax: (707) 571-8601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT21833 California

Profile Details

NPI number 1114903192
LBN Legal business name Grace, Jeannette Elaine
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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