Provider Demographics
NPI:1508837055
Name:GRABASKAS, PETER PAUL (PT)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:PAUL
Last Name:GRABASKAS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 CRATOR DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-9536
Mailing Address - Country:US
Mailing Address - Phone:469-467-8705
Mailing Address - Fax:
Practice Address - Street 1:2300 COIT RD
Practice Address - Street 2:STE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3768
Practice Address - Country:US
Practice Address - Phone:469-467-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1157498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist