NPI 1003136938

Donald Ray Grosskopf, LPTA

Practitioner Physical Therapy Assistant Niceville, FL

Practice location

Address: 2300 Partin Dr N, Niceville, FL 32578-1538
Phone: (850) 678-5500
Fax: (850) 678-7400
Mailing address: 178 Driftwood Point Rd, Santa Rosa Beach, FL 32459-3018

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 21489 (FL)

Other Physical Therapy Assistant providers in Florida →

Registry record

NPI: 1003136938
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2010
Record last updated: 2 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.