MRS. Ellen Stewart Grandy, LPTA

NPI #1518115401 in Barco, North Carolina

Provider Information

NPI Number: 1518115401
Entity Type: Individual
Name: MRS. Ellen Stewart Grandy, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Sep 4, 2008
Last Updated: Sep 4, 2008

Practice Location

Address: 3907 CARATOKE HWY
Address 2: SENTARA NURSING CENTER
City: Barco
State: North Carolina
ZIP Code: 27917
Phone: (252) 457-0521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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