Individual
JUDY GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
264 MOHICAN ST NE, BREWSTER, OH 44613-1199
(330) 767-4179
Mailing address
15091 ORRVILLE ST NW, NORTH LAWRENCE, OH 44666-9610
(330) 904-4374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5316
OH
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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