Individual
COURTNEY GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 W COLLEGE ST, WAYNESBURG, PA 15370-1222
(301) 471-4662
Mailing address
51 W. COLLEGE ST., COURTNEY GROVE, BOX 3141, WAYNESBURG, PA 15370
(301) 471-4662
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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