Individual
MR. DONALD RAY GROSSKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2300 PARTIN DR N, NICEVILLE, FL 32578-1538
(850) 678-5500
(850) 678-7400
Mailing address
178 DRIFTWOOD POINT RD, SANTA ROSA BEACH, FL 32459-3018
(850) 417-6308
(850) 278-6607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21489
FL
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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