| Doctor Name: | MARK JOSEPH GRANGER |
| NPI Number: | 1134140304 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PTH3635 |
| Business Practice Address: | 4223 Orange Beach Blvd Suite D Orange Beach, AL - 365613459 |
| Business Phone Number: | 2519811300 |
| Business Fax Number: | 2519811305 |
| Mailing Address: | 1908 Flint Rd Se, DECATUR |
| State: | AL |
| Postal Code: | 356016031 |
| Phone Number: | 2563409708 |
| Fax Number: | 2563409624 |
| NPI Enumeration Date: | 07/22/2006 |
| NPI Last Update Date: | 03/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTH3635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |