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Madison Katherine Gribben

Physical Therapy Assistant in Longmont, CO. Individual provider (NPI-1).

NPI number1013674795
StatusActive
Last updated in NPPESNov 17, 2021

Details

NPI
1013674795
Entity type
Individual (NPI-1)
Name
Madison Katherine Gribben
Sex
Female
Sole proprietor
No
Enumeration date
Nov 17, 2021
Certification date
Nov 17, 2021
Last updated
Nov 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant0015087COYes

Practice location

805 Summer Hawk Dr Unit Hh49
Longmont, CO 80504-8810

Phone 262-716-7178

Mailing address

805 Summer Hawk Dr Unit Hh49
Longmont, CO 80504-8810

Phone 262-716-7178

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