Individual
ROBERT SAMUEL GRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1132 ANNAPOLIS RD STE 101, ODENTON, MD 21113-1672
(410) 874-1700
(410) 874-1707
Mailing address
10753 FALLS RD STE 235, LUTHERVILLE, MD 21093-4597
(410) 847-3838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4749
MD
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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