Individual
MS. MARIAM ELLEN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
484 MAIN ST, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608
(800) 244-2756
(508) 831-9768
Mailing address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8134
MA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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