Individual
MRS. KATHY GRANACK QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 COURT DR, COMPLEAT KIDZ, GASTONIA, NC 28054-1478
(704) 824-4999
(704) 824-3999
Mailing address
2675 COURT DR, COMPLEAT KIDZ, GASTONIA, NC 28054-1478
(704) 824-4999
(704) 824-3999
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
7531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7213081
—
NC
Enumeration date
07/07/2012
Last updated
07/12/2016
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