Individual
JEFFERSON STANLEY GRISCAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3600 FORBES AVE, PITTSBURGH, PA 15213
(703) 232-9666
Mailing address
10700 HAMPTON RD, FAIRFAX STATION, VA 22039-2745
(703) 250-1102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000032338
—
Other
Enumeration date
08/29/2017
Last updated
07/10/2018
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