Doctor Name: | JENNIFER VESPA MCGRANN |
NPI Number: | 1750567715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 11379 |
Business Practice Address: | 439 Channel Rd Lake Wylie, SC - 297106102 |
Business Phone Number: | 8037467800 |
Business Fax Number: | |
Mailing Address: | 10707 Anglesey Ct, CHARLOTTE |
State: | NC |
Postal Code: | 282788448 |
Phone Number: | 7047073763 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2008 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11379 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
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 |