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Individual

HEIDI REBECCA GRUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
955 BEN FRANKLIN HWY W, SUITE 7, DOUGLASSVILLE, PA 19518-1048
(610) 953-3232
(610) 953-3230
Mailing address
955 BEN FRANKLIN HWY W, STE 7, DOUGLASSVILLE, PA 19518-1049
(610) 953-3232
(610) 953-3230

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018213
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477831030
GROUP NPI
PA
01
1930824
HIGHMARK
PA
Enumeration date
10/26/2007
Last updated
11/21/2016
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