Individual
GENEVIEVE ANNE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4825 CEDAR DR, WEST DES MOINES, IA 50266-4954
(515) 480-6473
Mailing address
4825 CEDAR DR, WEST DES MOINES, IA 50266-4954
(515) 480-6473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00457
IA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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