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Individual

MRS. LORI M GRISEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
2003 W 4TH ST STE 205, ONTARIO, OH 44906-1865
(567) 307-6008
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT012660
NC
2251P0200X
Pediatric Physical Therapist
Primary
PT012660
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0188421
OH
Enumeration date
12/02/2008
Last updated
04/09/2025
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