Individual
DR. JENNIFER LEE GROVE
Active
Individual
DR. JENNIFER LEE GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
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
Update your record
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