Granda, Jessica
Granda, Jessica is an individual health care provider with primary practice located at 1 Posa Place , Dartmouth MA 02747-2511. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Granda, Jessica can be contacted via phone (508) 996-3391.Contact Information
Primary practice address
1 Posa Place
Dartmouth MA 02747-2511
Phone: (508) 996-3391
Fax: (508) 996-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6753 | Massachusetts |
Profile Details
| NPI number | 1609904036 |
|---|---|
| LBN Legal business name | Granda, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609904036 | NPPES |
| Massachusetts | Other | 000000025647 | BMC |
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