Individual
MRS. LORI LEIGH GRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
11210 SCHUETZ RD, SAINT LOUIS, MO 63146-4933
(314) 993-9888
Mailing address
177 NORTHBAY CT, GLEN CARBON, IL 62034-2994
(314) 565-8481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1379
MO
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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