Individual
CARRIE ANN GRANT
Active
Individual
CARRIE ANN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TPT020602
PA
2251P0200X
Pediatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002056184
BS
PA
01
—
102261054
MEDICAL ASSISTANCE
PA
Enumeration date
05/29/2008
Last updated
11/03/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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