Individual
RANDY GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 CROSSROADS LANE, FISHERSVILLE, VA 22939
(540) 885-8424
Mailing address
184 PRIVADO LN, WAYNESBORO, VA 22980-6442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
VA
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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