TONY LANE GRANT

MERIDIAN, ID
NPI1558754481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  3660)
Enumeration Date2015-03-17
Last Update Date2015-03-17
Business Address
TONY LANE GRANT
1351 W PINE AVE
MERIDIAN, ID 83642-5031
Phone number: 208-888-7049
Mailing Address
TONY LANE GRANT
6155 W VILLA PARK ST
BOISE, ID 83703-6421
Phone number: 208-989-6297
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