KELLEY DIANNE GRANT

FAIRFAX, VA
NPI1437653300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306603338)
Enumeration Date2018-03-23
Last Update Date2018-03-23
Business Address
Ms. KELLEY DIANNE GRANT LPTA
9229 ARLINGTON BLVD
FAIRFAX, VA 22031-2550
Phone number: 703-277-6611
Mailing Address
Ms. KELLEY DIANNE GRANT LPTA
9229 ARLINGTON BLVD
FAIRFAX, VA 22031-2550
Phone number: 703-277-6611