William Kelly Grizzard

NPI #1720559867 in Van, Texas

Provider Information

NPI Number: 1720559867
Entity Type: Individual
Name: William Kelly Grizzard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 149 MICHIGAN ST
City: Van
State: Texas
ZIP Code: 75790-3823
Phone: (903) 952-7059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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