Gina Granstaff

NPI #1861580516 in Lebanon, Tennessee

Provider Information

NPI Number: 1861580516
Entity Type: Individual
Name: Gina Granstaff
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1420 W BADDOUR PKWY
City: Lebanon
State: Tennessee
ZIP Code: 37087-1510
Phone: (615) 443-9036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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