Doctor Name: | MR. EDGAR GRANADOS |
NPI Number: | 1073641320 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT40QA01053100 |
Business Practice Address: | 1036 Stuyvesant Ave Union, NJ - 070836023 |
Business Phone Number: | 9088510800 |
Business Fax Number: | |
Mailing Address: | 31 Fairmount Ave, EDISON |
State: | NJ |
Postal Code: | 088202032 |
Phone Number: | 7324943763 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT40QA01053100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |