Individual
ROBERT GRANINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
1908 PRESTON RIDGE DR, CHESTERFIELD, MO 63017-8735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019030008
MO
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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