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NPI Code Detail

MEDICARE: NORMIE GRAMATA

MEDICARE:   NORMIE  GRAMATA
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
1225200000XPhysical Therapy AssistantAT8663CA

General Provider Information

NPI Number : 1962761890
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMIE GRAMATA
Provider Business Mailing Address
First Line : 105 DOLORES AVE
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-2979
Country : US
Telephone Number : 956-202-3190
Fax Number :
Provider Business Practice Location Address
First Line : 809 FREMONT AVE
Second Line :
City : LOS ALTOS
State : CA
Zip : 94024-5617
Country : US
Telephone Number : 650-941-5255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2012
Last Update Date : 05/12/2012

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Directions to “ NORMIE GRAMATA ” Practice Location

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