SCOTTY W. GRANTHAM

JACKSON, MS
NPI1366524464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT3612)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
Mr. SCOTTY W. GRANTHAM R.P.T.
5250 GALAXIE DR SUITE K
JACKSON, MS 39206-4311
Phone number: 601-368-4570
Mailing Address
Mr. SCOTTY W. GRANTHAM R.P.T.
5250 GALAXIE DR SUITE K
JACKSON, MS 39206-4311
Phone number: 601-368-4570
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