Individual
JORDAN NICOLE BELL-GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 E MAIN STE F, PUYALLUP, WA 98372-3170
(253) 445-8663
Mailing address
8923 133RD STREET CT E, PUYALLUP, WA 98373-5585
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61045903
WA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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