Individual
MR. JASON JEROME GROENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
Mailing address
2796 HIGHWAY T, KOELTZTOWN, MO 65048-2022
(573) 728-9860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
115814
MO
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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