Individual
MRS. DIANE CHERYL GRUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11272 NW 71ST CT, PARKLAND, FL 33076-3866
(954) 415-3892
Mailing address
11272 NW 71ST CT, PARKLAND, FL 33076-3866
(954) 415-3892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12159
FL
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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