Sean Vincent William Grossman, PTA

NPI #1457938789 in Pryor, Oklahoma

Provider Information

NPI Number: 1457938789
Entity Type: Individual
Name: Sean Vincent William Grossman, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 24, 2021
Last Updated: Mar 24, 2021

Practice Location

Address: 165 STEVE BARRY BLVD
City: Pryor
State: Oklahoma
ZIP Code: 74361-6841
Phone: (918) 824-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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