Most Relevant Information
Provider Data
| NPI Number: | 1003036625 |
| Provider Name: | DEBRA M GRANDE PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT4767 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
877 3RD ST STE 1
CHIPLEY
FL
324281855
Practice Location Phone/Fax
| Phone: | 8506388447 |
| Fax: | 8506389217 |
Provider Mailing Location
877 3RD ST STE 1
CHIPLEY
FL
324281855
Provider Mailing Phone/Fax
| Phone: | 8506388447 |
| Fax: | 8506389217 |