Gary Grant Valid NPI
Individual provider · Physical Therapist · Fayette, MS
- NPI
- 1295468239
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 0750 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-07-07
- Last updated
- 2022-07-07
Practice location
870 Main St
Fayette, MS 39069-5695
(601) 786-3401