Individual
AMANDA KAY GRIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2630 US 1 S, ST AUGUSTINE, FL 32086-6191
(904) 829-3411
(904) 829-3412
Mailing address
382 TRAVINO AVE, ST AUGUSTINE, FL 32086-7369
(904) 797-7310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891650100
—
FL
01
—
Y01L2
BCBS
FL
Enumeration date
01/31/2007
Last updated
07/30/2025
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