Individual
HOLLY FRANCES GRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
803 S MAIN ST, WOODSTOCK, VA 22664-1125
(540) 459-5676
Mailing address
1440 S 59TH ST, WEST ALLIS, WI 53214-5121
(320) 241-7887
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3253
WI
225200000X
Physical Therapy Assistant
A2661
MN
225200000X
Physical Therapy Assistant
Primary
CP021356A
VA
Other
Enumeration date
05/01/2023
Last updated
05/02/2023
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