Individual
MR. EDWIN PRICE GRICE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1534
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51515426
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/12/2006
Last updated
07/08/2007
Update your record
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