Diana Grant, PT
Physical Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1497946271
StatusActive
Last updated in NPPESAug 6, 2007
Details
- NPI
- 1497946271
- Entity type
- Individual (NPI-1)
- Name
- Diana Grant
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2007
- Last updated
- Aug 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 027602 | NY | Yes |
Practice location
2615 E 16th StBrooklyn, NY 11235-3805
Phone 718-368-0054
Mailing address
2615 E 16th StBrooklyn, NY 11235-3805
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