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: |