Individual
RENAE MICHELLE GRUVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9385 W DONALD DR, PEORIA, AZ 85383-2988
(602) 875-5616
Mailing address
2898 E CITADEL CT, GILBERT, AZ 85298-5728
(480) 710-8632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6898
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052151
—
AZ
Enumeration date
05/11/2007
Last updated
12/15/2020
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