Individual
MS. ANN LOUIS MARIE GRANJE
Active
Individual
MS. ANN LOUIS MARIE GRANJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.T.
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
PT7804
FL
225100000X
Physical Therapist
Primary
PT7804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881601800
—
FL
01
—
PT7804
STATE LICENSE PHYS. THER.
FL
Enumeration date
10/24/2006
Last updated
05/31/2011
Update your record
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