Individual
ANDREW GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 RAIDERS WAY, HENDERSON, NV 89052-4604
(725) 780-3404
Mailing address
1475 RAIDERS WAY, HENDERSON, NV 89052-4604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4232
NV
225100000X
Physical Therapist
PT025224
PA
Other
Enumeration date
08/09/2016
Last updated
07/08/2020
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