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Individual
TODD MICHAEL GRIM
Active
Individual
TODD MICHAEL GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160584
ACN
—
01
—
7914198
AETNA
—
01
—
917546-01
BCBS OF MARYLAND
—
01
—
T208
BLUECHOICE/GHMSI
—
Enumeration date
01/18/2007
Last updated
03/15/2017
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