Provider Demographics
NPI:1306890488
Name:GRANAT, HILARY (PT)
Entity type:Individual
Prefix:MS
First Name:HILARY
Middle Name:
Last Name:GRANAT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 WISCONSIN AVE NW
Mailing Address - Street 2:#120
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2268
Mailing Address - Country:US
Mailing Address - Phone:202-997-1276
Mailing Address - Fax:
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 322
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-659-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870031225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist