Cornelia M Gerde Grant, M.A., PT
Physical Therapist in Tacoma, WA. Individual provider (NPI-1).
NPI number1316200959
StatusActive
Last updated in NPPESJun 19, 2012
Details
- NPI
- 1316200959
- Entity type
- Individual (NPI-1)
- Name
- Cornelia M Gerde Grant
- Credential
- M.A., PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2012
- Last updated
- Jun 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT00000523 | WA | Yes |
| 2251P0200X | Physical Therapist, Pediatrics | PT00000523 | WA |
Practice location
8717 S Hosmer StSte A
Tacoma, WA 98444-1819
Phone 253-471-2727 · Fax 253-471-2730
Mailing address
8717 S Hosmer StSte A
Tacoma, WA 98444-1819
Phone 253-471-2727 · Fax 253-471-2730
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