Individual
DR. CARRELLYN RHEA GRANT-CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS
Contact information
Practice address
3175 E GENESEE ST STE 5, SYRACUSE, NY 13224-1613
(315) 810-2423
Mailing address
17 ELY DR, FAYETTEVILLE, NY 13066-1001
(315) 569-4682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
051766-01
NY
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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