Organization
GRAND PHYSICAL THERAPY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURIEL EMILCE GONZALEZ GRANDOLI MPT (CEO)
(786) 901-1236
Entity
Organization
Contact information
Practice address
5200 SW 8TH ST STE 202B, CORAL GABLES, FL 33134-2337
(786) 901-1236
(786) 364-0217
Mailing address
6773 S WATERWAY DR, MIAMI, FL 33155-3743
(786) 901-1236
(786) 364-0217
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
08/07/2019
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