Individual
THOMAS GRANT RATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(833) 882-2737
Mailing address
1601 TRINITY ST STOP Z0200, AUSTIN, TX 78712-1850
(833) 882-2737
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
13119
MN
2251X0800X
Orthopedic Physical Therapist
Primary
1394470
TX
2251X0800X
Orthopedic Physical Therapist
304141
CA
Other
Enumeration date
06/27/2023
Last updated
07/26/2024
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