| Doctor Name: | BONNIE M GRACE |
| NPI Number: | 1225144876 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | 3435 |
| Business Practice Address: | 210 S Sunset Dr Ste B Sedona, AZ - 863365406 |
| Business Phone Number: | 9282822520 |
| Business Fax Number: | 9282822895 |
| Mailing Address: | Po Box 334, SEDONA |
| State: | AZ |
| Postal Code: | 863390334 |
| Phone Number: | 9282822520 |
| Fax Number: | 9282822895 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 12/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 3435 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |