Doctor Name: | MRS. PATRICIA L GRANT |
NPI Number: | 1194092122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05002202A |
Business Practice Address: | 600 N Jordan Ave Bloomington, IN - 474053190 |
Business Phone Number: | 8128557688 |
Business Fax Number: | |
Mailing Address: | 1005 S Graywell Dr, BLOOMINGTON |
State: | IN |
Postal Code: | 474019718 |
Phone Number: | 8123454327 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2011 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05002202A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |