Individual
TORY GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2701 BOREN BLVD, SEMINOLE, OK 74868-1901
(918) 841-6826
Mailing address
18450 COUNTY ROAD 3560, ADA, OK 74820-0101
(918) 841-6826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
71005
OK
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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