Individual
DEBRA M GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
877 3RD ST STE 1, CHIPLEY, FL 32428-1855
(850) 638-8447
(850) 638-9217
Mailing address
877 3RD ST STE 1, CHIPLEY, FL 32428-1855
(850) 638-8447
(850) 638-9217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4767
FL
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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