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Rebecca Grantham
NPI 1487806378 · on the registry since 2008
Practice
- Address
- 789 Tennessee St
Suite 101
Bolivar, TN 38008 - Phone
- (731) 658-2206
- Fax
- (731) 659-2061
- Organisation at this address
- Star Physical Therapy Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee