Individual
CAROL GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 WESTGATE DR, BETHLEHEM, PA 18017-7412
(610) 865-6077
(610) 694-0831
Mailing address
1901 W BROAD ST, BETHLEHEM, PA 18018-3209
(610) 882-0171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000900L
PA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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