Individual
STEPHANIE GRANDMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
77 BEESLEY AVE, CHICOPEE, MA 01013
(413) 594-4584
Mailing address
77 BEESLEY AVE, CHICOPEE, MA 01013-3616
(413) 594-4584
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7781
MA
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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