Individual
MRS. SANDRA E GROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4092 MEMORIAL PKWY SW, SUITE 105, HUNTSVILLE, AL 35802-4365
(256) 882-2457
Mailing address
108 WILLENA DR, MADISON, AL 35758-2116
(256) 783-5622
(256) 325-3700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2538
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51531972
BCBS
AL
05
—
890015130
—
AL
Enumeration date
09/21/2006
Last updated
09/17/2012
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