Individual
CARRIE MICHELLE GRIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
320 BROADWAY STE 2, CHULA VISTA, CA 91910-3502
(619) 422-0404
(619) 422-4153
Mailing address
320 BROADWAY STE 2, CHULA VISTA, CA 91910-3502
(619) 422-0404
(619) 422-4153
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
42547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42547
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
07/08/2015
Last updated
07/08/2015
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