Individual
JOSEPH GRANDONICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(207) 985-3030
Mailing address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4477
ME
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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