Individual
DR. JENNIFER LEE GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
171 E SPRINGBROOK RD, BROADWAY, VA 22815-9526
(540) 901-9501
Mailing address
2294 PULSES HILL LN, ROCKINGHAM, VA 22802-1013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207658
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q46249B830
MEDICARE NUMBER
—
01
—
Q46249C801
MEDICARE NUMBER
—
01
—
Q46249D677
MEDICARE NUMBER
—
Enumeration date
01/01/2014
Last updated
10/03/2016
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