Jason T. Grandone, PT
Physical Therapist in Galesburg, IL. Individual provider (NPI-1).
NPI number1982603502
StatusActive
Last updated in NPPESApr 20, 2011
Details
- NPI
- 1982603502
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason T. Grandone
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2005
- Last updated
- Apr 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070010049 | IL | Yes |
Practice location
765 N Kellogg StGalesburg, IL 61401-2875
Phone 309-343-3434 · Fax 309-343-3456
Mailing address
765 N Kellogg StGalesburg, IL 61401-2871
Phone 309-343-3434 · Fax 309-343-3456
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All 34 Physical Therapist providers in Galesburg · All 738 providers in Galesburg
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