Individual
MR. GARY LEE GROOMS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
362 NORMANDY ESTATES RD, BRIDGEPORT, WV 26330-8021
(304) 479-0492
Mailing address
362 NORMANDY ESTATES RD, BRIDGEPORT, WV 26330-8021
(304) 479-0492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002644
WV
Other
Enumeration date
05/28/2009
Last updated
11/10/2022
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