Provider / Organization | NPI | Date Certified |
---|---|---|
EDSON GRAVIL | 1588347090 | 2023-08-15 |
Edson Gravil is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588347090. Registration indicates Edson Gravil is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Edson Gravil |
Practice Office Address | 1000 EASTON RD STE 207 WYNCOTE, PA US |
Practice Office Telephone | 2155177551 |
Mailing Address | 6752 STENTON AVE PHILADELPHIA, PA 191503616 US |
Code | Practice | License No State |
---|---|---|
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |