Individual
MRS. ELLEN STEWART GRANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3907 CARATOKE HWY, SENTARA NURSING CENTER, BARCO, NC 27917
(252) 457-0521
(252) 457-0540
Mailing address
3907 CARATOKE HWY, SENTARA NURSING CENTER, BARCO, NC 27917
(252) 457-0521
(252) 457-0540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1107
NC
225200000X
Physical Therapy Assistant
2306602470
VA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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