Joseph Grandonico

NPI #1376047290 in Kennebunk, Maine

Provider Information

NPI Number: 1376047290
Entity Type: Individual
Name: Joseph Grandonico
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 23, 2018
Last Updated: Mar 23, 2018

Practice Location

Address: 3 BRAZIER LN
City: Kennebunk
State: Maine
ZIP Code: 04043-7095
Phone: (207) 985-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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