Individual
CHRISTOPHER IRIVING GRIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1417 S POLLOCK ST, SELMA, NC 27576-3405
(919) 300-5040
(919) 438-0893
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000235085
HMSA
HI
05
—
50652901
—
HI
Enumeration date
11/14/2006
Last updated
01/06/2025
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