MS. Mariam Ellen Grossman, PTA

NPI #1013167337 in Worcester, Massachusetts

Provider Information

NPI Number: 1013167337
Entity Type: Individual
Name: MS. Mariam Ellen Grossman, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 23, 2008
Last Updated: Sep 23, 2008

Practice Location

Address: 484 MAIN ST
Address 2: EASTER SEALS MASSACHUSETTS
City: Worcester
State: Massachusetts
ZIP Code: 01608
Phone: (800) 244-2756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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