Doctor Name: | STACY TRIMBLE GRAZAK |
NPI Number: | 1114234002 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 1197140 |
Business Practice Address: | 3801 Vista Rd Suite 200 Pasadena, TX - 775042159 |
Business Phone Number: | 7139105437 |
Business Fax Number: | 7139105445 |
Mailing Address: | 3801 Vista Rd, Suite 200 PASADENA |
State: | TX |
Postal Code: | 775042159 |
Phone Number: | 7139105437 |
Fax Number: | 7139105445 |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1197140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |