MRS. Kathy D. Granger, PTA

NPI #1255447488 in Jennings, Louisiana

Provider Information

NPI Number
1255447488
Entity Type
Individual
Name
MRS. Kathy D. Granger, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2002 JOHNSON ST
Address 2
SUITE 100
ZIP Code
70546-3646
Phone
(337) 824-4547

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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