Individual
MATTHEW GRANQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3211 DIVISION ST STE 3, BURLINGTON, IA 52601-1692
(319) 754-7899
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004179
IA
2251X0800X
Orthopedic Physical Therapist
Primary
004179
IA
Other
Enumeration date
07/01/2011
Last updated
03/29/2018
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