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Individual

STEPHANIE GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3930 SUNFOREST CT STE 200, TOLEDO, OH 43623-4441
(419) 251-0070
Mailing address
2222 CHERRY ST STE 1900, TOLEDO, OH 43608-2673
(419) 251-3878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT017277
OH
2251P0200X
Pediatric Physical Therapist
5501019746
MI
2251P0200X
Pediatric Physical Therapist
Primary
PT017277
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0027748
OH
Enumeration date
06/23/2022
Last updated
04/06/2026
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