Individual
MR. ANTHONY M. GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CIMT
Contact information
Practice address
4125 IRONBOUND RD STE 100, WILLIAMSBURG, VA 23188
(757) 220-8383
(757) 253-7833
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203725
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010082528
—
VA
01
—
192931
BCBS PHYSICAL THERAPY
VA
01
—
7925461
AETNA
—
01
—
P00157303
RAILROAD MEDICARE
VA
Enumeration date
04/04/2006
Last updated
07/07/2018
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