Individual
AMY ELISE GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 WALNUT ST, GROVEPORT, OH 43125-1427
(614) 327-1269
Mailing address
300 WALNUT ST, GROVEPORT, OH 43125-1427
(614) 327-1269
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009604
OH
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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