Whalio Doctors

NPI 1013167337

Mariam Ellen Grossman, PTA

Practitioner Physical Therapy Assistant Worcester, MA

Practice location

Address
484 Main St Easter Seals Massachusetts, Worcester, MA 01608
Phone
(800) 244-2756
Fax
(508) 831-9768
Mailing address
484 Main St, Worcester, MA 01608-1893

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8134 (MA)

Registry record

NPI
1013167337
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Sep 2008
Record last updated
23 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.