Grantham, Gina
Grantham, Gina is an individual health care provider with primary practice located at 6137 Tittabawassee Rd Ste 3 , Saginaw MI 48603-9696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Grantham, Gina can be contacted via phone (895) 580-9049.Contact Information
Primary practice address
6137 Tittabawassee Rd Ste 3
Saginaw MI 48603-9696
Phone: (895) 580-9049
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 5501019829 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1194329896 |
|---|---|
| LBN Legal business name | Grantham, Gina |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2020 |
| Last updated | Dec 27th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194329896 | NPPES |
| Michigan | Other | 5501019829 | STATE OF MICHIGAN |
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