Individual
THAD GRABOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCPO
Contact information
Practice address
6275 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2851
(757) 461-0671
(757) 461-2073
Mailing address
6275 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2851
(757) 461-0671
(757) 461-2073
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C21581
—
224P00000X
Prosthetist
Primary
C21581
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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