Individual
SAVANNAH GRANCORVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 213TH ST W, FARMINGTON, MN 55024-1167
(651) 460-1173
Mailing address
818 HARBOR VIEW RD, HUDSON, WI 54016-7029
(715) 497-8279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11262
MN
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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