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Individual

DAVID ALLEN GROOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
215 N WEBSTER AVE, GREEN BAY, WI 54301-4813
(920) 433-3638
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10257
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10257-024
LICENSE
WI
Enumeration date
12/07/2005
Last updated
04/10/2018
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