Individual
MARIAH GRANZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 S MAIN ST, DELTA, CO 81416
(970) 874-9773
Mailing address
2853 MASON DRIVE, GRAND JUNCTION, CO 81501
(719) 221-9908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0014480
CO
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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