Individual
MS. JESSICA GRUCA
Active
Individual
MS. JESSICA GRUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, SPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
096003752
IL
Other
Enumeration date
11/16/2014
Last updated
02/07/2019
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