(800) 868-1923

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: