Gary Grant
Gary Grant is a Physical Therapist in Fayette, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2022
Practice location Address checks out
870 Main StFayette, MS 39069-5695
Phone: (601) 786-3401
Fax: (601) 786-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 0750 (MS) |
|---|
Record details
| NPI number | 1295468239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 7, 2022 |
| Last updated in NPPES | July 7, 2022 |
| Certification date | July 7, 2022 |
| Mailing address | 1870 Porters Chapel Rd, Vicksburg, MS 39180-5797 |