BRIDGET GRISSOM

O FALLON, IL
NPI1043395015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-009311)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- BRIDGET GRISSOM PT
800 E US HIGHWAY 50
O FALLON, IL 62269-2844
Phone number: 618-622-9878
Mailing Address
-- BRIDGET GRISSOM PT
1196 TAZEWELL DR
O FALLON, IL 62269-7149
Phone number:
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