Individual
LINDA S GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2921 W 1ST ST, COFFEYVILLE, KS 67337-2441
(620) 251-6214
Mailing address
1302 W 6TH ST, COFFEYVILLE, KS 67337-3426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1400939
KS
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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