Individual
SAMUEL JACOB GRUGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2350 NW CENTURY DR STE 100, CORVALLIS, OR 97330-3495
(541) 754-1265
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65398
OR
Other
Enumeration date
07/17/2024
Last updated
07/29/2024
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