Individual
MS. PAMELA DARLENE GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305002783
VA
225100000X
Physical Therapist
Primary
CP015349T
GA
225100000X
Physical Therapist
NC11417
NC
Other
Enumeration date
03/16/2007
Last updated
11/06/2022
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