Doctor Name: | MRS. VALENTINA GRAN |
NPI Number: | 1851620108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMT |
License Number: | 18KT00148400 |
Business Practice Address: | 16 Nunda Ave Apt. 2 Jersey City, NJ - 073041309 |
Business Phone Number: | 9735084956 |
Business Fax Number: | |
Mailing Address: | 16 Nunda Ave, Apt. 2 JERSEY CITY |
State: | NJ |
Postal Code: | 073041309 |
Phone Number: | 9735084956 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2009 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 18KT00148400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |