Organization
GRAND THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY TROYD LEGRAND OTR/L (OCCUPATIONAL THERAPIST)
(267) 549-2966
Entity
Organization
Contact information
Practice address
1600 ATKINSON RD STE 111, LAWRENCEVILLE, GA 30043-5747
(267) 549-2966
Mailing address
1400 HERRINGTON RD APT 19303, LAWRENCEVILLE, GA 30044-1817
(267) 549-2966
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OT004199
GA
261QP2000X
Physical Therapy Clinic/Center
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Other
Enumeration date
03/05/2018
Last updated
07/28/2020
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