Provider Demographics
NPI:1710514070
Name:DR. SUSIE GRONSKI, INC.
Entity Type:Organization
Organization Name:DR. SUSIE GRONSKI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:SUSANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:828-545-2996
Mailing Address - Street 1:56 CENTRAL AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2459
Mailing Address - Country:US
Mailing Address - Phone:828-545-2996
Mailing Address - Fax:
Practice Address - Street 1:56 CENTRAL AVE STE 103
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2459
Practice Address - Country:US
Practice Address - Phone:828-545-2996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy