Individual
GRANT ANTHONY ROBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7265 N 1ST ST STE 105, FRESNO, CA 93720-2956
(559) 431-8181
Mailing address
1690 E FIR AVE APT 240, FRESNO, CA 93720-2788
(916) 342-4370
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48809
CA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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