| NPI | 1518253780 |
|---|---|
| Former Name | ANDREA GRUNBURGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60555417) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305206968) |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2018-06-18 |