Individual
TYLER GIANGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
3031 NEW BERN AVE STE 102, RALEIGH, NC 27610-2989
(860) 338-1712
Mailing address
3031 NEW BERN AVE STE 102, RALEIGH, NC 27610-2989
(860) 338-1712
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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