Erica Grant, OTRL

NPI #1730220179 in Hazleton, Pennsylvania

Provider Information

NPI Number: 1730220179
Entity Type: Individual
Name: Erica Grant, OTRL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: OTRL
Enumeration Date: Feb 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 221 W TAMARACK ST
Address 2: PINDAR PHYSICAL THERAPY INC
City: Hazleton
State: Pennsylvania
ZIP Code: 18201
Phone: (570) 401-6566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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