Individual
DAVID EDWARD GRISE
Active
Individual
DAVID EDWARD GRISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, OTC, R.T. (R)
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
247100000X
Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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