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NPI Code Detail

MEDICARE: CORINNE DEL GRANDE

MEDICARE:   CORINNE  DEL GRANDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant40QB00423200NJ

General Provider Information

NPI Number : 1881525905
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE DEL GRANDE
Provider Business Mailing Address
First Line : 12106 BAINBRIDGE WAY
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-4872
Country : US
Telephone Number : 732-233-1107
Fax Number :
Provider Business Practice Location Address
First Line : 12106 BAINBRIDGE WAY
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-4872
Country : US
Telephone Number : 732-233-1107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ CORINNE DEL GRANDE ” Practice Location

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