Individual
JESSIE RAY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
324 S SAGINAW RD, MIDLAND, MI 48640-4500
(989) 832-9300
(989) 832-9301
Mailing address
324 S SAGINAW RD, MIDLAND, MI 48640-4500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015407
MI
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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