Individual
AMBER LEIGH GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 GREEN LN STE 1, BRISTOL, PA 19007-5600
(215) 826-0166
Mailing address
11809 BASILE RD, PHILADELPHIA, PA 19154-2522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT026352
PA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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