Individual
MRS. HEATHER NICOLE GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 DEPOT ST, YOUNGWOOD, PA 15697-1356
(814) 659-5699
Mailing address
812 DEPOT ST, YOUNGWOOD, PA 15697-1356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002493
PA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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