Provider Demographics
NPI:1407133994
Name:GROHOVSKY, BRADLEY LAWRENCE (DPT)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:LAWRENCE
Last Name:GROHOVSKY
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:130 ADMIRAL COCHRANE DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:410-266-1500
Mailing Address - Fax:410-266-1369
Practice Address - Street 1:197 THOMPSON LN STE W
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2415
Practice Address - Country:US
Practice Address - Phone:615-270-9565
Practice Address - Fax:888-508-2057
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY0059442251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic