IndividualActive
Amanda Grant, DPT
NPI 1649399700 · Physical Therapist · St Augustine, FL
Provider details
- NPI number
- 1649399700
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT23148 (FL)
Practice location
252 Southpark Cir E
St Augustine, FL 32086-5137
Phone: (904) 829-3411
Mailing address
4010 Grande Vista Blvd
St Augustine, FL 32084-1345
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.