Doctor Name: | DR. SUSANE GRONSKI |
NPI Number: | 1922305168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, PRPC |
License Number: | 070.017865 |
Business Practice Address: | 8695 Archer Ave Suite 21 Willow Springs, IL - 604801260 |
Business Phone Number: | 7089150950 |
Business Fax Number: | 8889658969 |
Mailing Address: | 517 E Washington Blvd, LOMBARD |
State: | IL |
Postal Code: | 601482834 |
Phone Number: | 7089150950 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2011 |
NPI Last Update Date: | 05/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.017865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |