Individual
MARY ELIZABETH GRANINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CBIS
Contact information
Practice address
25 TERRE VERTE CT, SAINT CHARLES, MO 63304-1217
(636) 443-5020
(314) 328-5610
Mailing address
25 TERRE VERTE CT, SAINT CHARLES, MO 63304-1217
(636) 443-5020
(314) 328-5610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017026980
MO
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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