Individual
DOUGLAS DAVID DEGROOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4351 S MAIN ST, FARMVILLE, NC 27828-9532
(252) 753-5547
Mailing address
3360 KENYON RD, WILLIAMSON, NY 14589-9534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10956
NC
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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