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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW GRAM, OTR/L

Active Sole Proprietor

MATTHEW GRAM, OTR/L is a Physical Therapy Clinic healthcare provider located in SAINT PAUL, Minnesota. NPI 1518627116 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · SAINT PAUL, MN

Registration Details

NPI Number
1518627116
Provider Type
Individual
Gender
Male
NPI Issued
Dec 22, 2021 (4.6153014289474 yrs)
Last Updated
Dec 22, 2021
License
106669 (MN)
Sole Proprietor
Yes

Practice Information

Address
1600 UNIVERSITY AVE W # 10
SAINT PAUL, MN, 551043898
Browse MN providers · Browse ZIP 55104
Phone
6516467246
Primary Specialty
Physical Therapy Clinic
261QP2000X

Other Physical Therapy Clinic Providers in SAINT PAUL, MN

Name Credential NPI
SAUNDRA SASARITA OTR/L, CHT 1285889980
EMILY L PARNELL PT 1700419207
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.