Bridget Grissom, PT Valid NPI

Individual provider · Physical Therapist · O Fallon, IL

NPI

1043395015

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

Sex

Female

Sole proprietor

No

Enumerated

2006-10-26

Last updated

2007-07-08