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Individual

JESSICA MARIE GROMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7575 FIVE MILE RD, CINCINNATI, OH 45230-4360
(513) 233-4360
(513) 233-4361
Mailing address
7575 FIVE MILE RD, CINCINNATI, OH 45230-4360
(513) 233-4360
(513) 233-4361

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.013091
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000692384
ANTHEM
OH
05
3123837
OH
Enumeration date
11/11/2010
Last updated
09/23/2013
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