Individual
DANIEL C GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
909 ENTERPRISE DR, JONESBORO, AR 72401
(870) 936-8000
(870) 934-3654
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3876
AR
Other
Enumeration date
11/04/2014
Last updated
09/18/2018
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