NPI 1205183225

Wilman Antonio Grandez

Practitioner Mechanotherapist Bethesda, MD

Practice location

Address: 4728 Hampden Ln, Bethesda, MD 20814-2910
Phone: (240) 481-8248
Mailing address: 13145 Dairymaid Dr APT 204, Germantown, MD 20874-2326

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence M03594 (MD)

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Registry record

NPI: 1205183225
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2012
Record last updated: 8 Aug 2012

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.