Grant, Tony Lane

Grant, Tony Lane is an individual health care provider with primary practice located at 1351 W Pine Ave , Meridian ID 83642-5031. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Grant, Tony Lane can be contacted via phone (208) 888-7049.

Contact Information

Primary practice address
1351 W Pine Ave Meridian ID 83642-5031
Phone: (208) 888-7049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3660 Idaho

Profile Details

NPI number 1558754481
LBN Legal business name Grant, Tony Lane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2015
Last updated Mar 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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