Individual
FELICIA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
354 FRONT ST STE 2, MARION, MA 02738-1533
(774) 553-5662
Mailing address
576 BROADHOLLOW RD STE PRO, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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