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Individual

MR. MICHAEL HARRY GROVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
34 BARROWS TER, STRATFORD, CT 06614-3205
(203) 257-7390
(203) 365-6600
Mailing address
34 BARROWS TER, STRATFORD, CT 06614-3205
(203) 257-7390
(203) 365-6600

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000902
CT

Other

Enumeration date
11/14/2016
Last updated
11/14/2016
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