Individual
LEE C GRINONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., M.S.
Contact information
Practice address
7820 MONCLOVA RD., MONCLOVA, OH 43542-0085
(419) 865-7112
Mailing address
PO BOX 85, 7820 MONCLOVA RD., MONCLOVA, OH 43542-0085
(419) 865-7112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4207
OH
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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