Individual
NICHOLAS JOSEPH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32506
AZ
Other
Enumeration date
08/17/2022
Last updated
03/06/2023
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