Individual
AMY GROENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2796 HWY T, KOELTZTOWN, MO 65048
(573) 619-5879
Mailing address
2796 HWY T, KOELTZTOWN, MO 65048
(573) 619-5879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110516
MO
Other
Enumeration date
05/01/2007
Last updated
10/07/2012
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