Individual
MOLLY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
58 MAYERCIK CT, EDISON, NJ 08820-4800
(732) 710-7603
Mailing address
58 MAYERCIK CT, EDISON, NJ 08820-4800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00293100
NJ
Other
Enumeration date
07/01/2018
Last updated
12/08/2025
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