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Contact Information

KRISTINA GRANDE
101 CHEYENNE DR
OLD FORGE, PA18518-1581
 Phone: 570-357-2887
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRISTINA GRANDE · (Female)

NPI Number 1538536321
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2015
Last updated 08/27/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PT024488
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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