Individual
TIFFANY MARIE GRIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 CAGNEY LN APT 319, NEWPORT BEACH, CA 92663-2672
(920) 740-5367
Mailing address
260 CAGNEY LN APT 319, NEWPORT BEACH, CA 92663-2672
(920) 740-5367
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1982-19
WI
Other
Enumeration date
09/26/2012
Last updated
07/21/2022
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