Richard Grant II, PTA

NPI #1811373103 in Saco, Maine

Provider Information

NPI Number
1811373103
Entity Type
Individual
Name
Richard Grant II, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 10, 2015
Last Updated
Aug 10, 2015

Practice Location

Address
895 PORTLAND RD
City
Saco
State
Maine
ZIP Code
04072-9673
Phone
(207) 439-5104

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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