Individual
JEANNIE MCFALL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 RANDOLPH ST, RADFORD, VA 24141-2430
(540) 633-6533
Mailing address
4497 BURMA RD, RADFORD, VA 24141-8121
(540) 230-3767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004063
VA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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