MISS Vivian Grider, PROTHETIST

NPI #1881937530 in Madison, Alabama

Provider Information

NPI Number
1881937530
Entity Type
Individual
Name
MISS Vivian Grider, PROTHETIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist - Prosthetics Case Management
Credential
PROTHETIST
Enumeration Date
Apr 1, 2013
Last Updated
Apr 1, 2013

Practice Location

Address
304 BRIDGEFIELD CT
State
Alabama
ZIP Code
35758-6849
Phone
(256) 348-9106

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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