Healthcare Provider Details

I. General information

NPI: 1306890488
Provider Name (Legal Business Name): HILARY GRANAT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M ST NW SUITE 322
WASHINGTON DC
20037-1404
US

IV. Provider business mailing address

2111 WISCONSIN AVE NW #120
WASHINGTON DC
20007-2268
US

V. Phone/Fax

Practice location:
  • Phone: 202-659-2673
  • Fax:
Mailing address:
  • Phone: 202-997-1276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT870031
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: