Individual
MAUREEN GRAINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1082 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 821-5230
Mailing address
11927 GLENRIDGE DR, MARYLAND HEIGHTS, MO 63043-1626
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
112110
MO
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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