Individual
DR. JESSICA GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
555 E BROADWAY AVE STE 100, JACKSON, WY 83001-8640
(307) 739-1864
Mailing address
PO BOX 9614, JACKSON, WY 83002-9614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2139
WY
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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