Individual
MR. DOUG GRONEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7577
Mailing address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5231051-2401
UT
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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