Most Relevant Information
Provider Data
| NPI Number: | 1003318734 |
| Provider Name: | SEAN HOWARD GROSSARTH PSA, CDCA-P, RA |
| Entity Type: | Individual |
| Taxonomy Code: | 405300000X |
| Specialty: | Prevention Professional |
| License Number: | RA.161611 |
Most Important Dates
| Enumeration Date: | 03/08/2018 |
| Last Updated: | 03/08/2018 |
Provider Practice Location
201 S COLUMBUS ST
LANCASTER
OH
431304315
Practice Location Phone/Fax
| Phone: | 7406874500 |
| Fax: | 7406874595 |
Provider Mailing Location
201 S COLUMBUS ST
LANCASTER
OH
431304315
Provider Mailing Phone/Fax
| Phone: | 7406874500 |
| Fax: | 7406874595 |