Provider Demographics
NPI:1871013797
Name:GROBAKER, CAITLIN M (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:M
Last Name:GROBAKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 FLAGSTONE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3826
Mailing Address - Country:US
Mailing Address - Phone:610-241-2685
Mailing Address - Fax:877-732-7311
Practice Address - Street 1:10102 VALLEY FORGE CIR
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1111
Practice Address - Country:US
Practice Address - Phone:610-241-2685
Practice Address - Fax:877-732-7311
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025977225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist