Individual
DR. JACLYN GRENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(484) 596-5758
Mailing address
946 STONEYBROOK DR, SPRINGFIELD, PA 19064-3829
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT023884
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT023884
PT LICENSE
PA
Enumeration date
07/15/2020
Last updated
07/15/2020
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