Most Relevant Information
Provider Data
| NPI Number: | 1003509225 |
| Provider Name: | MARLECIA GRANT DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 7553 |
Most Important Dates
| Enumeration Date: | 06/01/2023 |
| Last Updated: | 06/01/2023 |
Provider Practice Location
701 S HOLLY AVE
COLLINS
MS
394283894
Practice Location Phone/Fax
| Phone: | 6017656711 |
| Fax: |
Provider Mailing Location
3820 34TH ST
MERIDIAN
MS
393074403
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |