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Individual

DANIEL M. GRUBER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A

Contact information

Practice address
324 ROXBURY RD, ROCKFORD, IL 61109-5090
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 5247, ROCKFORD, IL 61125-0247
(815) 398-9491
(815) 381-7498

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
IL

Other

Enumeration date
08/22/2006
Last updated
02/01/2008
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