Individual
IMAN K GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
189 ALBANY DR, KISSIMMEE, FL 34759-5900
(321) 682-1681
Mailing address
189 ALBANY DR, KISSIMMEE, FL 34759-5900
(321) 682-1681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ11383
FL
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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