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Individual

AARON GROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1800 FLANDRO DR STE 190, POCATELLO, ID 83202-4940
(208) 233-2248
Mailing address
164 N 400 W, BLACKFOOT, ID 83221-5635
(208) 705-7121

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5581
ID

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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