Individual
GEORGE MICHAEL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 COURT ST, BROCKTON, MA 02302-4608
(508) 897-0007
(508) 897-0020
Mailing address
165 COURT ST, BROCKTON, MA 02302-4608
(508) 897-0007
(508) 897-0020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3784
MA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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