Individual
MARSHA L. GRANT-FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PHD
Contact information
Practice address
1 NORMAL AVE, UPPER MONTCLAIR, NJ 07043-1624
(973) 655-5243
Mailing address
65 PENOBSCOT ST, CLIFTON, NJ 07013-2017
(973) 470-9968
(973) 470-9964
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00054200
NJ
2255A2300X
Athletic Trainer
RT000129A
PA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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