Individual
CHRISTINE GROSSNICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600, BETHESDA, MD 20817-1809
(301) 581-8054
(301) 564-0284
Mailing address
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600, BETHESDA, MD 20817-1809
(301) 581-8054
(301) 564-0284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18778
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240160ZD6T
MEDICARE PTAN
MD
Enumeration date
12/17/2006
Last updated
06/13/2012
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