Individual
SIERA MEAGAN GRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1767
(618) 593-7239
Mailing address
27 BLISS TER, COLLINSVILLE, IL 62234-5548
(618) 593-7239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004714
IL
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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