Individual
MARK L GROTHMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
450 ELLIS LN, WEST CHESTER, PA 19380-5123
(484) 266-3938
Mailing address
307 N CHESTER RD, WEST CHESTER, PA 19380-6622
(610) 429-2400
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
RT000133A
PA
2255A2300X
Athletic Trainer
RT000133A
PA
Other
Enumeration date
02/08/2006
Last updated
09/11/2025
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