Individual
REBECCA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5461 MERIDIAN MARK RD STE 300, ATLANTA, GA 30342-4014
(404) 785-8862
Mailing address
535 TAUNTON WAY, ATLANTA, GA 30319-1088
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT009665
GA
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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