Individual
CHRISTINA GRANQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
Mailing address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01571700
NJ
Other
Enumeration date
09/10/2014
Last updated
04/26/2016
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