Most Relevant Information
Provider Data
| NPI Number: | 1003017856 |
| Provider Name: | MEGAN D. GRANQUIST ATC, LAT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 1210 |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4407 CORNELL AVE
GREENSBORO
NC
274071703
Practice Location Phone/Fax
| Phone: | 2532083195 |
| Fax: |
Provider Mailing Location
4407 CORNELL AVE
GREENSBORO
NC
274071703
Provider Mailing Phone/Fax
| Phone: | 2532083195 |
| Fax: |