Provider Demographics
NPI:1649615147
Name:GRASBERGER, ELIZABETH LOUISE (DPT)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LOUISE
Last Name:GRASBERGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9113 MEDLEY MILL CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-5807
Mailing Address - Country:US
Mailing Address - Phone:804-550-1043
Mailing Address - Fax:
Practice Address - Street 1:9113 MEDLEY MILL CT
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-5807
Practice Address - Country:US
Practice Address - Phone:804-550-1043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305003652225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist