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LINDA S GROVER PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1972773505

Individual Registrant:
 LINDA S GROVER PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2921 W 1ST ST  COFFEYVILLE, KS 67337-2441 US
Tel: 620-251-6214  Fax: --

Contact information for business:
1302 W 6TH ST  COFFEYVILLE, KS 67337-3426 US
Tel: --  Fax: --

Registration Information:
NPI: 1972773505
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
KS1400939

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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