Individual
SUSAN ELAINE GROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 S HIGH ST, WAYNESBORO, TN 38485-2615
(931) 722-2778
Mailing address
PO BOX 450, WAYNESBORO, TN 38485-0450
(931) 722-2778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000005439
TN
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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