Individual
ASHLEY SUZANNE GRANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
984 N MERIDIAN PL # A, WASILLA, AK 99654-7215
(907) 631-4029
(907) 631-4128
Mailing address
525 W MONTANA DR, PALMER, AK 99645-7030
(907) 982-1073
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
166016
AK
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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