Individual
MRS. JOANNE GRYSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14631 LEE HWY, SUITE 310, CENTREVILLE, VA 20121-2112
(703) 222-5903
(703) 222-3765
Mailing address
14631 LEE HWY, SUITE 310, CENTREVILLE, VA 20121-2112
(703) 222-5903
(703) 222-3765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23050035606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196835
ANTHEM
VA
01
—
213216
MAMSI
—
01
—
4503458
AETNA
VA
Enumeration date
06/06/2007
Last updated
07/08/2007
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