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Individual
STEPHANIE MARIE GRIEGER
Active
Individual
STEPHANIE MARIE GRIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005036
IA
2251P0200X
Pediatric Physical Therapist
005036
IA
2251X0800X
Orthopedic Physical Therapist
005036
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665992
—
IA
Enumeration date
08/28/2012
Last updated
08/28/2012
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