Individual
MRS. DIANA MARIE GROGESKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.,C
Contact information
Practice address
11 FAIRLANE RD, READING, PA 19606-9567
(610) 779-2663
(610) 370-5201
Mailing address
120 CONSTITUTION AVE, READING, PA 19606-9408
(610) 370-9261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002207A
PA
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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