GRANT FORREST CRERIE

SCOTTSDALE, AZ
NPI1952680571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  9415A)
Enumeration Date2011-08-12
Last Update Date2011-08-12
Business Address
-- GRANT FORREST CRERIE PTA
8115 E INDIAN BEND RD
SCOTTSDALE, AZ 85250-4819
Phone number: 480-951-6451
Mailing Address
-- GRANT FORREST CRERIE PTA
914 S MELODY LN
TEMPE, AZ 85281-4430
Phone number: 480-593-4210
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