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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

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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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