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NPI Code Detail

MEDICARE: MRS. PATRICIA ANITA GRIER MS, PT

MEDICARE: MRS. PATRICIA ANITA GRIER MS, PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist55-01001973MI

General Provider Information

NPI Number : 1285984955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANITA GRIER MS, PT
Provider Business Mailing Address
First Line : 1594 S BIRCH HAVEN BEACH DR
Second Line :
City : LAKE CITY
State : MI
Zip : 49651-8630
Country : US
Telephone Number : 231-295-1080
Fax Number :
Provider Business Practice Location Address
First Line : 1900 S LACHANCE RD
Second Line :
City : LAKE CITY
State : MI
Zip : 49651-8022
Country : US
Telephone Number : 231-775-3081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2012
Last Update Date : 06/26/2014

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