Individual
DR. NICOLE MEGAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6545 FRANCE AVE S STE 450, EDINA, MN 55435-2122
(952) 920-8525
Mailing address
33650 6TH AVE S, STE 100, FEDERAL WAY, WA 98003-6754
(937) 219-5088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11434
MN
225100000X
Physical Therapist
PT60663259
WA
Other
Enumeration date
08/24/2016
Last updated
06/20/2019
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