Most Relevant Information
Provider Data
| NPI Number: | 1003074865 |
| Provider Name: | ALEXANDRA KIRSTIN GRANT PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 0288711 |
Most Important Dates
| Enumeration Date: | 05/29/2008 |
| Last Updated: | 05/29/2008 |
Provider Practice Location
924 MAIN STREET
NIAGARA FALLS
NY
143011110
Practice Location Phone/Fax
| Phone: | 7162822888 |
| Fax: | 7162851281 |
Provider Mailing Location
924 MAIN STREET
NIAGARA FALLS
NY
143011110
Provider Mailing Phone/Fax
| Phone: | 7162822888 |
| Fax: | 7162851281 |