Individual
CAROLYN GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002B LUTHER RD, MINFORD, OH 45653-8819
(740) 352-8674
Mailing address
2002B LUTHER RD, MINFORD, OH 45653-8819
(740) 352-8674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004242
OH
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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