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Individual
DR. MARISSA GROOMS
Active
Individual
DR. MARISSA GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1830
WY
2251P0200X
Pediatric Physical Therapist
3120095
TX
Other
Enumeration date
07/25/2016
Last updated
10/05/2018
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