Organization
CHERI J. GRANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA A CARTER (OFFICE MANAGER)
(253) 858-3332
Entity
Organization
Contact information
Practice address
7306 STINSON AVE, GIG HARBOR, WA 98335-1140
(253) 858-3332
Mailing address
7306 STINSON AVE, GIG HARBOR, WA 98335-1140
(253) 858-3332
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00002516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7204902
—
WA
Enumeration date
09/22/2006
Last updated
11/02/2012
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