Oakley, Mary Grizzle

Oakley, Mary Grizzle is an individual health care provider with primary practice located at 405 Osigian Blvd The Cantrell Center For Pt & Sports Medicine Pc, Warner Robins GA 31088. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Oakley, Mary Grizzle can be contacted via phone (478) 953-3535.

Contact Information

Primary practice address
405 Osigian Blvd The Cantrell Center For Pt & Sports Medicine Pc Warner Robins GA 31088
Phone: (478) 953-3535
Fax: (478) 953-0353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT002271 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X PT002271 Georgia

Profile Details

NPI number 1790714475
LBN Legal business name Oakley, Mary Grizzle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790714475 NPPES
Georgia Other 52542051 BCBS

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