Individual
JAMES GRAINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
784 GRAVOIS BLUFFS BLVD, FENTON, MO 63026-7726
(636) 349-8060
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017022022
MO
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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