Provider Demographics
NPI:1104187517
Name:GRUMBINE, CATHERINE MEIER (PT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MEIER
Last Name:GRUMBINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON FORGE
Mailing Address - State:VA
Mailing Address - Zip Code:24422-1873
Mailing Address - Country:US
Mailing Address - Phone:540-862-9555
Mailing Address - Fax:
Practice Address - Street 1:1000 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON FORGE
Practice Address - State:VA
Practice Address - Zip Code:24422-1873
Practice Address - Country:US
Practice Address - Phone:540-862-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305004344225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist