Individual
BRIGHAM NATHANIEL GRIEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9355 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5503
(904) 739-6680
Mailing address
2139 SWEET BRIAR LN, JACKSONVILLE, FL 32217-2376
(904) 520-1896
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25570
FL
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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