Individual
CHRISTOPHER JOHN GRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1000 STACIE DR, HAZLETON, PA 18201-5690
(570) 453-5191
(570) 453-5190
Mailing address
1000 STACIE DR, HAZLETON, PA 18201-5690
(570) 453-5191
(570) 453-5190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010335L
PA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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