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Individual

DANIELLE GRISCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT,DPT

Contact information

Practice address
118 OUTWATER LN, GARFIELD, NJ 07026-2629
(973) 955-2190
Mailing address
135 GEORGIA RD, PENNSVILLE, NJ 08070-2450
(856) 275-1573

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01774200
NJ

Other

Enumeration date
04/23/2018
Last updated
04/23/2018
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