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NPI Code Detail

MEDICARE: SHARI PHARES GRACI

MEDICARE: SHARI PHARES GRACI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant07833LA
2225100000XPhysical Therapist07833LA

General Provider Information

NPI Number : 1386208890
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARI PHARES GRACI
Provider Business Mailing Address
First Line : 8155 JEFFERSON HWY APT 1306
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1621
Country : US
Telephone Number : 318-419-7781
Fax Number :
Provider Business Practice Location Address
First Line : 8155 JEFFERSON HWY APT 1306
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1621
Country : US
Telephone Number : 318-419-7781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2019
Last Update Date : 04/30/2019

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Directions to “ SHARI PHARES GRACI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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