Jason Grimard
Chiropractor, Rehabilitation in Quincy, MA. Individual provider (NPI-1).
NPI number1982180741
StatusActive
Last updated in NPPESJul 16, 2018
Details
- NPI
- 1982180741
- Entity type
- Individual (NPI-1)
- Name
- Jason Grimard
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2018
- Last updated
- Jul 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | 3620 | MA | Yes |
Practice location
45 Virginia RdQuincy, MA 02169-2425
Phone 413-834-8897
Mailing address
45 Virginia RdQuincy, MA 02169-2425
Phone 413-834-8897
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