Phennuelhy Grant Mirasol Granzon
Phennuelhy Grant Mirasol Granzon is a Physical Therapist in Richmond Hill, New York. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
107-02 R Jamaica AveRichmond Hill, NY 11418
Phone: (347) 829-3890
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 050420 (NY) |
|---|
Record details
| NPI number | 1922782069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 9, 2023 |
| Last updated in NPPES | March 12, 2024 |
| Certification date | June 9, 2023 |
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