Individual
SANDRA C LOGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19 SWAN ST, BEVERLY, MA 01915-3119
(978) 883-6026
Mailing address
2 GRIFFIN CT, GLOUCESTER, MA 01930-2580
(978) 879-8232
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8550
MA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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