Individual
MRS. LAURA LYNN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
50901 OURAY, ALBUQUERQUE, NM 87120
(505) 836-0023
Mailing address
8304 WEDGEWOOD AVE NW, ALBUQUERQUE, NM 87120
(505) 352-2871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3191
NM
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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