Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1300X | Electrophysiology, Clinical | PT015128 | PA |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT015128 | PA |
NPI | 1487606224 |
---|---|
Provider Name | Edward J Grabinski |
First Address | Emmaus, PA 18049-1967 |
Second Address | Emmaus, PA 18049-1967 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 18/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1487606224 | NPI (01) | PA |
Q22311 | (02) |