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Individual
RICHARD H GRENELL
Active
Individual
RICHARD H GRENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3276
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3276-024
LICENSE
WV
Enumeration date
12/12/2005
Last updated
03/22/2010
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