Individual
MR. THOMAS GLEN GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3850 S MERIDIAN, SUITE 03, PUYALLUP, WA 98373-3701
(253) 845-9098
Mailing address
3220 55TH PL NE, TACOMA, WA 98422-3253
(253) 568-6748
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60044890
WA
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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