Gary Grant

NPI #1295468239 in Fayette, Mississippi

Provider Information

NPI Number: 1295468239
Entity Type: Individual
Name: Gary Grant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jul 7, 2022
Last Updated: Jul 7, 2022

Practice Location

Address: 870 MAIN ST
City: Fayette
State: Mississippi
ZIP Code: 39069-5695
Phone: (601) 786-3401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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