Individual
ELAINA VINCENZA GRANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3720 S MISSION RD W, BREMERTON, WA 98312-9719
(360) 731-6987
Mailing address
3720 S MISSION RD W, BREMERTON, WA 98312-9719
(360) 731-6987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00002226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7683162
—
WA
Enumeration date
10/16/2006
Last updated
07/09/2007
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