Provider Demographics
NPI:1972051878
Name:LOW, GRACE (PT)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:LOW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 ALAMEDA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4024
Mailing Address - Country:US
Mailing Address - Phone:831-757-1900
Mailing Address - Fax:831-757-1010
Practice Address - Street 1:515 ALAMEDA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4024
Practice Address - Country:US
Practice Address - Phone:831-757-1900
Practice Address - Fax:831-757-1010
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23420225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist