| Doctor Name: | MARGO GRANT-BRYAN |
| NPI Number: | 1356718480 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | KK283615 |
| Business Practice Address: | 19395 N John Wayne Pkwy Maricopa, AZ - 851392833 |
| Business Phone Number: | 9517121097 |
| Business Fax Number: | |
| Mailing Address: | 20443 N Santa Cruz Dr, MARICOPA |
| State: | AZ |
| Postal Code: | 851385587 |
| Phone Number: | 9517121097 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2015 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | KK283615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |