Individual
MRS. KATHY D. GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2002 JOHNSON ST, SUITE 100, JENNINGS, LA 70546-3646
(337) 824-4547
(337) 824-4548
Mailing address
1327 DULLES DR, LAFAYETTE, LA 70506-3873
(337) 824-4547
(337) 824-4548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6997
LA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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