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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JESSICA BETH LIFSHUTZ-GRINBERG, CPO

Active Sole Proprietor

MS. JESSICA BETH LIFSHUTZ-GRINBERG, CPO is a Orthotist healthcare provider located in WILLITS, California. NPI 1942419544 is currently active in the NPPES registry. Verify at CMS.

Orthotist · WILLITS, CA

Registration Details

NPI Number
1942419544
Provider Type
Individual
Gender
Female
NPI Issued
May 21, 2007 (19.231278635335 yrs)
Last Updated
Sep 20, 2018
Licenses
1667 (VA)
1667 (VA)
Sole Proprietor
Yes

Practice Information

Address
84 MADRONE ST
WILLITS, CA, 954904249
Browse CA providers · Browse ZIP 95490
Phone
7079373003
Fax
7079376267
Primary Specialty
Orthotist
222Z00000X
Additional Specialty
Orthotist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.