Individual
MS. CARRIE GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
14535 SHERMAN CIR, VAN NUYS, CA 91405-3087
(818) 901-4930
Mailing address
14535 SHERMAN CIR, VAN NUYS, CA 91405-3087
(818) 901-4930
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
54483
CA
Other
Enumeration date
02/27/2007
Last updated
04/04/2012
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