Individual
SONYA LYNN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
165 JORDAN CREST LN, STONY POINT, NC 28678-9171
(828) 468-1034
Mailing address
165 JORDAN CREST LN, STONY POINT, NC 28678-9171
(828) 468-1034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6038
PTA LICENSE
NC
Enumeration date
01/07/2019
Last updated
01/07/2019
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