Individual
CHRISTINA GRANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
913 NORTH BROADWAY, MASSAPEQUA, NY 11758-2364
(516) 454-6387
Mailing address
913 N BROADWAY, MASSAPEQUA, NY 11758-2364
(516) 454-6387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013069-01
NY
Other
Enumeration date
02/23/2024
Last updated
09/19/2024
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