Jennifer Grining

Individual provider Active NPI Geriatric Physical Therapist · Gridley, CA

NPI 1679926232 · NPPES record last updated Jul 19, 2016

Key facts

NPI
1679926232
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Physical Therapist 2251G0304X
License
25251 (CA)
Practice address
240 Spruce St
Gridley, CA 95948-2216
Phone
(530) 846-5671
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25251CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 25251 CA Yes

Addresses

Primary practice location

240 Spruce St
Gridley, CA 95948-2216

Mailing address

240 Spruce St
Gridley, CA 95948-2216
Phone (530) 846-5671

Other providers in Gridley, CA

All providers in Gridley, CA · Geriatric Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.