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1982328340
ALLISYN GRANTHAM
COLUMBIA, MD
NPI
1982328340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 29661)
Enumeration Date
2022-09-29
Last Update Date
2023-09-21
Business Address
ALLISYN GRANTHAM
6851 OAK HALL LN STE 102
COLUMBIA, MD 21045-5815
Phone number: 443-979-7123
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Mailing Address
ALLISYN GRANTHAM
11 EDMONDSON RIDGE RD
CATONSVILLE, MD 21228-1901
Phone number: 410-446-2922
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