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Thomas Gravine
NPI 1881341584 · on the registry since 2022 · sole proprietor
Practice
- Address
- 37 Woodlands Dr
Waymart, PA 18472 - Phone
- (570) 687-5540
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania