Individual
MISS KIMBERLY ELIZABETH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6134 BRIDLEWOOD LN, CHARLOTTE, NC 28215-1612
(704) 535-3446
Mailing address
6134 BRIDLEWOOD LN, CHARLOTTE, NC 28215-1612
(704) 535-3446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2144
SC
225200000X
Physical Therapy Assistant
Primary
A3803
NC
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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