Individual
KAITLYN GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 DALLAS HWY SW STE 601, MARIETTA, GA 30064-6427
(770) 438-5226
Mailing address
1875 MAPLE DR APT 408, KENNESAW, GA 30144-1677
(336) 707-2251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017598
GA
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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