Individual
MRS. KATHERINE ALEXANDRA GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 SAINT STEPHENS RD, ALEXANDRIA, VA 22304-1727
(703) 212-2819
Mailing address
1000 SAINT STEPHENS RD, ALEXANDRIA, VA 22304-1727
(703) 973-7927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001864
VA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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