Individual
KATHERINE GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12158 CENTRAL AVE, MITCHELLVILLE, MD 20721-1932
(301) 430-2700
Mailing address
1557 FALLOWFIELD CT, CROFTON, MD 21114-1457
(240) 988-7270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4322
MD
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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