Individual
CARRIE LYNN GRELLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2 N SAINT JOSEPH AVE, NILES, MI 49120-2214
(269) 687-1419
Mailing address
2 N SAINT JOSEPH AVE, NILES, MI 49120-2214
(269) 687-1419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006558
MI
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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