Individual
KEVIN MARTIN GRENNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44201 DEQUINDRE RD STE 203A, TROY, MI 48085-1117
(248) 964-4014
Mailing address
44201 DEQUINDRE RD STE 203A, TROY, MI 48085-1117
(248) 964-4014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003400
MI
Other
Enumeration date
02/27/2018
Last updated
02/08/2024
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