Individual
GRANT J GOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6400
Mailing address
630 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-2361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1282
ND
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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