LARISA IVETA GRANTS

LAFAYETTE, IN
NPI1538644729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05013118A)
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
Dr. LARISA IVETA GRANTS PT, DPT
1701 S CREASY LN
LAFAYETTE, IN 47905-4972
Phone number: 765-502-4000
Mailing Address
Dr. LARISA IVETA GRANTS PT, DPT
2202 RAYMOND DR APT A3
LAFAYETTE, IN 47909-8328
Phone number: