Mr. Randall Walter Grossglass
Physical Therapist - Orthopedic
134 E Bloomingdale Ave
Brandon
, Florida 33511-8101
Mr. Randall Walter Grossglass
Physical Therapist - Orthopedic
134 E Bloomingdale Ave
Brandon
, Florida 33511-8101
(813) 684-1356
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Randall Walter Grossglass
- 3904 Bellewater Blvd
- Riverview, FL
- Zip : 33569-3106
- Fax : (813) 684-1356
- Phone : (813) 508-5474
Second Address
- Mr. Randall Walter Grossglass
- 134 E Bloomingdale Ave
- Brandon, FL
- Zip : 33511-8101
- Fax : (813) 684-1356
- Phone : (813) 681-1627
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT18479 | FL |
National Provider Identifier
| NPI | 1033217054 |
|---|---|
| Provider Name | Mr. Randall Walter Grossglass |
| First Address | Riverview, FL 33569-3106 |
| Second Address | Brandon, FL 33511-8101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.