Individual
KATHLEEN GROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
(609) 754-9212
Mailing address
255 VREELAND AVE, NUTLEY, NJ 07110-1546
(973) 985-9599
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00239100
NJ
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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