Individual
JENNIFER CATHERINE GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1855PT
MT
225100000X
Physical Therapist
5501010734
MI
Other
Enumeration date
04/10/2006
Last updated
08/19/2011
Update your record
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