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Contact Information

GLENDOLIN GRANT, MT
105 VAN BUREN ST
PASSAIC, NJ07055
 Phone: 201-724-4870
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for GLENDOLIN GRANT · (Female)

NPI Number 1205377025
Status Active
Credentials MT
Entity Individual
Enumeration date 03/13/2017
Last updated 03/13/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 18KT00952700
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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