Provider Demographics
NPI:1518646553
Name:GRIEBE, ADRIANNA QUINN (PTA)
Entity Type:Individual
Prefix:MS
First Name:ADRIANNA
Middle Name:QUINN
Last Name:GRIEBE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4622 AUTUMN ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2442
Mailing Address - Country:US
Mailing Address - Phone:832-314-8471
Mailing Address - Fax:
Practice Address - Street 1:11820 CYPRESS CORNER LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-1132
Practice Address - Country:US
Practice Address - Phone:832-539-1632
Practice Address - Fax:832-539-1653
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2163721225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant