Bridget Grissom, PT

NPI #1043395015 in O Fallon, Illinois

Provider Information

NPI Number
1043395015
Entity Type
Individual
Name
Bridget Grissom, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Oct 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
800 E US HIGHWAY 50
ZIP Code
62269-2844
Phone
(618) 622-9878

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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