Doctor Name: | JESSICA N GRANDE |
NPI Number: | 1295931376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, CSCS |
License Number: | PT25095 |
Business Practice Address: | 578 Ocoee Commerce Pkwy Ocoee, FL - 347614219 |
Business Phone Number: | 4076566639 |
Business Fax Number: | 4076560921 |
Mailing Address: | 16849 Cedar Run Dr, ORLANDO |
State: | FL |
Postal Code: | 328286977 |
Phone Number: | 7249914718 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT25095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |