Individual
BRIAN NEAL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
101 NW 1ST ST STE 114, EVANSVILLE, IN 47708-1259
(812) 402-0444
Mailing address
101 NW 1ST ST, STE 114, EVANSVILLE, IN 47708-1259
(812) 402-0444
(812) 402-0449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011575A
IN
Other
Enumeration date
04/04/2019
Last updated
08/20/2019
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