Shaun Gross, PTA

NPI #1235589557 in Gilford, New Hampshire

Provider Information

NPI Number: 1235589557
Entity Type: Individual
Name: Shaun Gross, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 17, 2016
Last Updated: Jun 17, 2016

Practice Location

Address: 14 MAPLE ST STE 120
City: Gilford
State: New Hampshire
ZIP Code: 03249-6580
Phone: (603) 524-2852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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