Individual
DR. AMANDA AYER GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
252 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5137
(904) 829-3411
Mailing address
4010 GRANDE VISTA BLVD, APT 204, ST AUGUSTINE, FL 32084-1345
(904) 829-3868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23148
FL
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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