Individual
MS. GINA GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS IN EDUCATION
Contact information
Practice address
217 SAINT JOSEPH ST, LOUISVILLE, KY 40203-2743
(502) 785-8966
Mailing address
217 SAINT JOSEPH ST, LOUISVILLE, KY 40203-2743
(502) 785-8966
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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