Individual
AERIEL DEJESUS-GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6215 E FLORIDA ST, EVANSVILLE, IN 47715-2877
(812) 401-5210
Mailing address
PO BOX 3676, EVANSVILLE, IN 47735-3676
(812) 471-1591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014250A
IN
Other
Enumeration date
12/14/2021
Last updated
02/24/2025
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