Provider Demographics
NPI:1720286883
Name:GRAB, ANN ELIZABETH (PT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:ELIZABETH
Last Name:GRAB
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:1651 OLD MEADOW RD
Mailing Address - Street 2:STE 600
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4311
Mailing Address - Country:US
Mailing Address - Phone:703-506-0123
Mailing Address - Fax:
Practice Address - Street 1:2702 N 44TH ST
Practice Address - Street 2:STE 101A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-1583
Practice Address - Country:US
Practice Address - Phone:480-990-9095
Practice Address - Fax:480-941-1233
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2010-02-01
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Provider Licenses
StateLicense IDTaxonomies
AZ6029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ774093Medicaid
AZ774093Medicaid