Tracie Renee Grant, PTA
NPI #1215590062 in Tappahannock, Virginia
Provider Information
- NPI Number
- 1215590062
- Entity Type
- Individual
- Name
- Tracie Renee Grant, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 17, 2019
- Last Updated
- Apr 17, 2019
Practice Location
- Address
- 1150 MARSH STREET
- City
- Tappahannock
- State
- Virginia
- ZIP Code
- 22560
- Phone
- (804) 434-4308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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Organizations
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|---|---|
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