Individual
CARA JILL GRINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 CHESTNUT ST, COLORADO CITY, TX 79512-3015
(325) 728-5247
Mailing address
2900 AVENUE U, SNYDER, TX 79549-3322
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2092703
TX
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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