Individual
MADISON KATHERINE GRIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 SUMMER HAWK DR UNIT HH49, LONGMONT, CO 80504-8810
(262) 716-7178
Mailing address
805 SUMMER HAWK DR UNIT HH49, LONGMONT, CO 80504-8810
(262) 716-7178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015087
CO
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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