MS. Patricia Elaine Grant, L.M.T/M.M.P.

NPI #1750698510 in Ponchatoula, Louisiana

Provider Information

NPI Number: 1750698510
Entity Type: Individual
Name: MS. Patricia Elaine Grant, L.M.T/M.M.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T/M.M.P.
Enumeration Date: Aug 31, 2010
Last Updated: Aug 31, 2010

Practice Location

Address: 120 MANOR DR
City: Ponchatoula
State: Louisiana
ZIP Code: 70454-2920
Phone: (985) 507-7319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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