Grissom, Bridget
Grissom, Bridget is an individual health care provider with primary practice located at 800 E Us Highway 50 , O Fallon IL 62269-2844. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Grissom, Bridget can be contacted via phone (618) 622-9878.Contact Information
Primary practice address
800 E Us Highway 50
O Fallon IL 62269-2844
Phone: (618) 622-9878
Fax: (618) 624-6781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1043395015 |
|---|---|
| LBN Legal business name | Grissom, Bridget |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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