Debra M Grande, PT
Individual provider Active NPI Physical Therapist · Chipley, FL
NPI 1003036625 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003036625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT4767 (FL)
- Practice address
- 877 3Rd St Ste 1
Chipley, FL 32428-1855 - Phone
- (850) 638-8447
- Fax
- (850) 638-9217
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4767 | FL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4767 | FL | Yes |
Addresses
Primary practice location
877 3Rd St Ste 1
Chipley, FL 32428-1855
Mailing address
877 3Rd St Ste 1
Chipley, FL 32428-1855
Phone (850) 638-8447
Other providers in Chipley, FL
- Suzan Mills Gage
- William Mark Garney
- Mallory Gay
- Geri-Care Assisted Living & Rehabilitative Center
- Norma B Gilo
- Veronica J Guettler
- James Guy
- Guyson Construction
- Nathanael L Hawkins
- Healing Hearts Ministries
All providers in Chipley, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.