Individual
EMERALD JEAN GRANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9888
Mailing address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 709-2496
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1457
WV
Other
Enumeration date
05/28/2010
Last updated
09/12/2016
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