Individual
CAROLINE JANE GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
251832
KY
235Z00000X
Speech-Language Pathologist
Primary
270069
KY
Other
Enumeration date
08/08/2019
Last updated
07/29/2021
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