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Individual
MRS. MARY BETH VERONICA GRUBB
Active
Individual
MRS. MARY BETH VERONICA GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012648L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50047169
CAPITOL BLUE CROSS
PA
01
—
GR1658088
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/04/2006
Last updated
07/08/2007
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