Kenneth M Granahan, MPT

NPI #1710929666 in Forty Fort, Pennsylvania

Provider Information

NPI Number: 1710929666
Entity Type: Individual
Name: Kenneth M Granahan, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jun 12, 2006
Last Updated: Feb 25, 2008

Practice Location

Address: 190 WELLES ST
Address 2: SUITE 166
City: Forty Fort
State: Pennsylvania
ZIP Code: 18704-4968
Phone: (570) 714-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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