Individual
CONNOR GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL 32204-4717
(904) 634-0640
(904) 634-0640
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42154
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/07/2020
Last updated
05/15/2025
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