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Organization

GROVES PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN V GROVES DPT (OWNER/CEO)
(763) 913-9155
Entity
Organization

Contact information

Practice address
4465 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-7623
(651) 209-6144
Mailing address
4465 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-7623
(651) 209-6144

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
7378
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
744403600
MN
Enumeration date
11/15/2010
Last updated
11/15/2010
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