EMERALD JEAN GRANATA

BRIDGEPORT, WV
NPI1568781508
Former NameEMERALD JEAN LUTHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  1457)
Enumeration Date2010-05-28
Last Update Date2016-09-12
Business Address
-- EMERALD JEAN GRANATA MOTR/L
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 304-842-9888
Mailing Address
-- EMERALD JEAN GRANATA MOTR/L
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 304-709-2496
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