Individual
MRS. KATHERINE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
537 W 150TH ST, NEW YORK, NY 10031-2605
(718) 608-4030
Mailing address
537 W 150TH ST, NEW YORK, NY 10031-2605
(718) 608-4030
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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