Provider Demographics
NPI:1619095031
Name:GRONLUND PHYSICAL THERAPY & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:GRONLUND PHYSICAL THERAPY & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:GRONLUND
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:412-751-2451
Mailing Address - Street 1:545 E BRUCETON RD
Mailing Address - Street 2:LEFT
Mailing Address - City:PLEASANT HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4593
Mailing Address - Country:US
Mailing Address - Phone:412-751-2451
Mailing Address - Fax:
Practice Address - Street 1:545 E BRUCETON RD
Practice Address - Street 2:LEFT
Practice Address - City:PLEASANT HILLS
Practice Address - State:PA
Practice Address - Zip Code:15236-4593
Practice Address - Country:US
Practice Address - Phone:412-751-2451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT004037E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty