Individual
MS. CHRISTY FONTENOT GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
513 ALAMO ST, LAKE CHARLES, LA 70601-8532
(337) 494-6298
Mailing address
1013 IRIS ST, LAKE CHARLES, LA 70601-5437
(337) 494-6298
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LA00727
LA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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