Individual
MS. KATHERINE JANE GRIESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
405 OWEN DR, FAYETTEVILLE, NC 28304-3411
(910) 263-7438
(910) 904-5858
Mailing address
668 SKYDIVE DR, RAEFORD, NC 28376-6605
(910) 797-3855
(910) 904-5858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4285
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2506991A
MEDICARE PIN FOR 230179B (WHA)
NC
Enumeration date
05/31/2005
Last updated
02/04/2009
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