Individual
JEREMY GRONOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600-A EAST MAIN STREET, SUITE A, RADFORD, VA 24141
(540) 633-0413
(540) 633-0416
Mailing address
600-A EAST MAIN ST, SUITE A, RADFORD, VA 24141
(540) 633-0413
(540) 633-0416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070018224
IL
225100000X
Physical Therapist
Primary
2305206615
VA
225100000X
Physical Therapist
5501016344
MI
225100000X
Physical Therapist
PT011360
GA
225100000X
Physical Therapist
PT60290286
WA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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