| Doctor Name: | MISS CIBELE MAZILIAUSKAS GRANITO |
| NPI Number: | 1043465149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5501013616 |
| Business Practice Address: | 1080 E Sternberg Rd Muskegon, MI - 494448796 |
| Business Phone Number: | 2317992200 |
| Business Fax Number: | 2317992201 |
| Mailing Address: | 1080 E Sternberg Rd, MUSKEGON |
| State: | MI |
| Postal Code: | 494448796 |
| Phone Number: | 2317992200 |
| Fax Number: | 2317992201 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 03/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 5501013616 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |