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Individual

HARRISON TYLER GRUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
642 S QUEEN ST STE 101, DOVER, DE 19904-3506
(302) 724-6344
(302) 449-2047
Mailing address
1050 INDUSTRIAL RD STE 210, MIDDLETOWN, DE 19709-2801
(302) 724-6344
(302) 449-2047

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
DE

Other

Enumeration date
06/20/2018
Last updated
06/20/2018
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