Graca, Kathleen Lillian

Graca, Kathleen Lillian is an individual health care provider with primary practice located at 15855 19 Mile Rd , Clinton Township MI 48038-3504. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Graca, Kathleen Lillian can be contacted via phone (586) 263-2481.

Contact Information

Primary practice address
15855 19 Mile Rd Clinton Township MI 48038-3504
Phone: (586) 263-2481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501002203 Michigan

Profile Details

NPI number 1629566336
LBN Legal business name Graca, Kathleen Lillian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2018
Last updated Apr 22nd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629566336 NPPES
Michigan MEDICAID 382947657

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