Individual
JAMIE LYNN GROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8115 E INDIAN BEND RD STE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
Mailing address
8115 E INDIAN BEND RD STE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11211A
AZ
Other
Enumeration date
01/08/2019
Last updated
05/11/2020
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