Individual
ALLI GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 W ADDISON ST, CHICAGO, IL 60613-4397
(507) 313-6468
Mailing address
357 SANDY POINT CT NE, ROCHESTER, MN 55906-8817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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