Individual
MICHELE GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3A CANDLEWOOD HILL ROAD, HIGGANUM, CT 06441-4202
(860) 345-2622
(860) 345-2626
Mailing address
PO BOX 619, HIGGANUM, CT 06441-0619
(860) 345-2622
(860) 345-2626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004600
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004145480
—
CT
01
—
080004600CT03
ANTHEM BC/BS
CT
01
—
15701
CIGNA/ORTHONET
CT
01
—
5360125
AETNA
CT
01
—
68562
OXFORD/ORTHONET
CT
Enumeration date
05/12/2006
Last updated
10/05/2015
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