Provider Demographics
NPI:1548377419
Name:GRONES, PATRICIA R (MSPT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:R
Last Name:GRONES
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:HOLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7269
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:5601 BRODIE LN
Practice Address - Street 2:SUITE 640
Practice Address - City:SUNSET VALLEY
Practice Address - State:TX
Practice Address - Zip Code:78745-2538
Practice Address - Country:US
Practice Address - Phone:512-580-3055
Practice Address - Fax:512-580-3056
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1104883225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1104883OtherLICENSE #