Individual
DR. MALLORY BETH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3231 MAIN ST, SUITE 3, BRYANT, AR 72022-9188
(501) 847-0500
(501) 847-0508
Mailing address
3231 MAIN ST, SUITE 3, BRYANT, AR 72022-9188
(501) 847-0500
(501) 847-0508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 3737
AR
225100000X
Physical Therapist
PT3737
AR
Other
Enumeration date
08/27/2013
Last updated
06/30/2022
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