Individual
AMBER GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 OWEN DR, FAYETTEVILLE, NC 28304-3419
(910) 323-3184
Mailing address
2470 ROBERTSON BRIDGE RD, GRANTS PASS, OR 97526-7232
(541) 227-1756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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