Doctor Name: | MS. JENNIFER GRANT |
NPI Number: | 1992889901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 17058 |
Business Practice Address: | 7801 York Rd Suite 236 Towson, MD - 212047446 |
Business Phone Number: | 4105830333 |
Business Fax Number: | |
Mailing Address: | 371 Homeland Southway, 3b BALTIMORE |
State: | MD |
Postal Code: | 212124178 |
Phone Number: | 4433867793 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 17058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |