Provider Demographics
NPI:1447628631
Name:GRAB, PAIGE MARIE (DPT)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:MARIE
Last Name:GRAB
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6723 RAILWAY AVE
Mailing Address - Street 2:
Mailing Address - City:DUNDALK
Mailing Address - State:MD
Mailing Address - Zip Code:21222-1052
Mailing Address - Country:US
Mailing Address - Phone:717-350-0530
Mailing Address - Fax:
Practice Address - Street 1:6723 RAILWAY AVE
Practice Address - Street 2:
Practice Address - City:DUNDALK
Practice Address - State:MD
Practice Address - Zip Code:21222-1052
Practice Address - Country:US
Practice Address - Phone:717-350-0530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25667225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist