Individual
PETER GROHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/R
Contact information
Practice address
211 DIXON RECREATION CTR, CORVALLIS, OR 97331-8501
(541) 737-9348
Mailing address
3299 SW CHINTIMINI AVE, CORVALLIS, OR 97333-1530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10144815
OR
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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