Individual
OLIVIA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 PELHAM PKWY S, BRONX, NY 10461-1003
(718) 409-8200
Mailing address
1850 LAFAYETTE AVE APT 6H, BRONX, NY 10473-2837
(203) 824-6235
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
790453
NY
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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