Individual
MS. KIM RUTISHAUSER GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
262 COTTAGE ST, SPRINGFIELD, MA 01104-3274
(844) 342-1753
(262) 372-5605
Mailing address
262 COTTAGE ST, SPRINGFIELD, MA 01104-3274
(844) 342-1753
(262) 372-1753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003699
CT
225100000X
Physical Therapist
Primary
23562
MA
Other
Enumeration date
08/05/2008
Last updated
11/06/2019
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