Individual
MRS. SANDRA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 SAINT LOUIS AVE, SUITE 102, FORT WORTH, TX 76104-3366
(817) 789-6849
Mailing address
305 NE LOOP 280 BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-6422
(817) 292-8787
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066911
TX
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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