Individual
JENNIFER IRENE GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E FULTON ST, GARDEN CITY, KS 67846-5454
(620) 275-8400
(620) 275-2687
Mailing address
101 E FULTON ST, GARDEN CITY, KS 67846-5454
(620) 275-8400
(620) 275-2687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1402199
KS
225200000X
Physical Therapy Assistant
Primary
959
NE
Other
Enumeration date
12/01/2010
Last updated
12/23/2010
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