Individual
SEAN VINCENT WILLIAM GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
165 STEVE BARRY BLVD, PRYOR, OK 74361-6841
(918) 824-4500
(918) 824-1977
Mailing address
1200 CORPORATE DRIVE, SUITE 400, BIRMINGHAM, AL 35242
(423) 206-4158
(717) 773-4654
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2032
OK
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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