NPI 1811373103

Richard Grant, PTA

Practitioner Physical Therapy Assistant Saco, ME

Practice location

Address: 895 Portland Rd, Saco, ME 04072-9673
Phone: (207) 439-5104

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA4467 (ME)

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Registry record

NPI: 1811373103
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2015
Record last updated: 10 Aug 2015

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.