Individual
CARL GRINAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
3110 W GELDING DR, PHOENIX, AZ 85053-5732
(602) 793-7814
Mailing address
3110 W GELDING DR, PHOENIX, AZ 85053-5732
(602) 793-7814
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
68042
AZ
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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