RICHARD GRANT

SACO, ME
NPI1811373103
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ME  PA4467)
Enumeration Date2015-08-10
Last Update Date2015-08-10
Business Address
-- RICHARD GRANT PTA
895 PORTLAND RD
SACO, ME 04072-9673
Phone number: 207-439-5104
Mailing Address
-- RICHARD GRANT PTA
895 PORTLAND RD
SACO, ME 04072-9673
Phone number: 207-439-5104