Provider Demographics
NPI:1225918766
Name:GRIGORESCU, AIMEE
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:GRIGORESCU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 SODORNO LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-2464
Mailing Address - Country:US
Mailing Address - Phone:530-407-4643
Mailing Address - Fax:
Practice Address - Street 1:270 E HORIZON DR STE 100&101
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8036
Practice Address - Country:US
Practice Address - Phone:725-235-9059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-1819225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant