Individual
ANNIKA GRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-5081
Mailing address
91 LONGWOOD AVE APT 2, BROOKLINE, MA 02446-6631
(810) 728-2782
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
06/27/2024
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