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Contact Information

MARLO LAGRANT
150 INFIRMARY WAY
AMHERST, MA01003-9288
 Phone: 413-577-5000
 Fax: 413-577-5117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARLO LAGRANT · (Female)

NPI Number 1013067396
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 11460
  • MA Other 2870192 AETNA
  • MA Other Y67488 BLUE CROSS BLUE SHIELD MA
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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