Individual
THORSTEN GRAMBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CMT
Contact information
Practice address
1200 MT DIABLO BLVD, SUITE # 103, WALNUT CREEK, CA 94596-4852
(207) 649-3088
Mailing address
2015 OLYMPIC BLVD, WALNUT CREEK, CA 94595-1621
(207) 649-3088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
39084
CA
Other
Enumeration date
01/07/2009
Last updated
12/11/2012
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