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1043447717
KENNETH C GROSSO
WEST ORANGE, NJ
NPI
1043447717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40qb00162500)
Enumeration Date
2009-06-19
Last Update Date
2009-06-19
Business Address
Mr. KENNETH C GROSSO PTA
20 SUMMIT ST
WEST ORANGE, NJ 07052-1501
Phone number: 973-736-2000
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Mailing Address
Mr. KENNETH C GROSSO PTA
20 SUMMIT ST
WEST ORANGE, NJ 07052-1501
Phone number:
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