Individual
JENNIFER L GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1037 19TH ST SW, MASON CITY, IA 50401-6436
(641) 423-0428
Mailing address
924 N VAN BUREN AVE, MASON CITY, IA 50401-1954
(641) 512-5099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00829
IA
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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