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NPI Code Detail

MEDICARE: GRANT THOMAS THORNBRUGH PT, DPT

MEDICARE: GRANT THOMAS THORNBRUGH PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1232942TX

General Provider Information

NPI Number : 1477986545
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRANT THOMAS THORNBRUGH PT, DPT
Provider Business Mailing Address
First Line : 2200 LOS RIOS BLVD STE 132
Second Line :
City : PLANO
State : TX
Zip : 75074-3478
Country : US
Telephone Number : 972-509-5070
Fax Number :
Provider Business Practice Location Address
First Line : 2200 LOS RIOS BLVD STE 132
Second Line :
City : PLANO
State : TX
Zip : 75074-3478
Country : US
Telephone Number : 972-509-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2013
Last Update Date : 07/09/2021

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Directions to “ GRANT THOMAS THORNBRUGH PT, DPT” Practice Location

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