| Lily Graff, DPT | |
|
1162b Gorgas Ave, San Francisco, CA 94129-1406 | |
| (415) 561-6655 | |
| Not Available |
| Full Name | Lily Graff |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1162b Gorgas Ave, San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437835527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 304262 (California) | Primary |
| Provider Name | Presidio Sport & Medicine, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578565149 PECOS PAC ID: 2466447651 Enrollment ID: O20040416001428 |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Graff, DPT 1162b Gorgas Ave, San Francisco, CA 94129-1406 Ph: (415) 561-6655 | Lily Graff, DPT 1162b Gorgas Ave, San Francisco, CA 94129-1406 Ph: (415) 561-6655 |
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