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Individual
LYNN ANN GROTH
Active
Individual
LYNN ANN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC LAT
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
01083
IA
2255A2300X
Athletic Trainer
Primary
330
IA
Other
Enumeration date
05/16/2007
Last updated
03/17/2018
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