MR. Jack L Grimm, PT

NPI #1902881402 in Springfield, Ohio

Provider Information

NPI Number: 1902881402
Entity Type: Individual
Name: MR. Jack L Grimm, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 7, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2221 GRUBE ST
City: Springfield
State: Ohio
ZIP Code: 45503-2642
Phone: (937) 399-8941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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