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Individual

NINA GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
826 MAIN ST STE 201, PHOENIXVILLE, PA 19460-4459
(610) 415-1100
(610) 415-1101
Mailing address
826 MAIN ST STE 201, PHOENIXVILLE, PA 19460-4459
(610) 415-1100
(610) 415-1101

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
02/04/2017
Last updated
07/22/2022
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