Individual
MRS. JANNA NOELLE GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
1425 YORKLAND RD, COLUMBUS, OH 43232-1686
(614) 751-2525
Mailing address
323 OXFORD OAK DR, BLACKLICK, OH 43004-8483
(614) 868-8788
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06117
OH
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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