Most Relevant Information
Provider Data
NPI Number: | 1003286568 |
Provider Name: | BRANDI GRIDER |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | A03380 |
Most Important Dates
Enumeration Date: | 09/28/2015 |
Last Updated: | 09/28/2015 |
Provider Practice Location
1202 S 21ST ST
NEW CASTLE
IN
473622523
Practice Location Phone/Fax
Phone: | 7654652332 |
Fax: |
Provider Mailing Location
1202 S 21ST ST
NEW CASTLE
IN
473622523
Provider Mailing Phone/Fax
Phone: | |
Fax: |