Individual
MEGAN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6585 KY 30 E, BOONEVILLE, KY 41314
(606) 493-6268
Mailing address
6585 KY 30 E, BOONEVILLE, KY 41314
(606) 493-6268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006325
KY
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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