Individual
ADAM GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5395 S 450 W, PONETO, IN 46781-9749
(260) 694-6515
Mailing address
5395 S 450 W, PONETO, IN 46781-9749
(260) 694-6515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003908A
IN
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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