Organization
IN HOME PHYSICAL THERAPY BY GRANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT WILLIAM FOLEY PTA (OWNER)
(317) 908-7307
Entity
Organization
Contact information
Practice address
1570 LAVENDER LN, GREENWOOD, IN 46143-6234
(317) 908-7307
Mailing address
1570 LAVENDER LN, GREENWOOD, IN 46143-6234
(317) 908-7307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
53000124A
IN
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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