NPI 1043447717

Kenneth C Grosso, PTA

Practitioner Physical Therapy Assistant West Orange, NJ

Practice location

Address: 20 Summit St, West Orange, NJ 07052-1501
Phone: (973) 736-2000

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00162500 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1043447717
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2009
Record last updated: 19 Jun 2009

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.