Individual
JOAN MARIE GRAYBEAL-GILLON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1825 29TH ST NE, CEDAR RAPIDS, IA 52402-3452
(319) 362-6994
(319) 368-3399
Mailing address
624 GREEN VALLEY TER SE, CEDAR RAPIDS, IA 52403-3254
(319) 363-4693
(319) 368-3399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
766
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094581
—
IA
01
—
10458
WELLMARK
IA
Enumeration date
07/05/2005
Last updated
07/08/2007
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