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MR. JEREMY ALAN GROSS

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

Registrant NPI Number: 1013489525

Individual Registrant:
MR. JEREMY ALAN GROSS 
Gender: M
Sole Proprietor

Location and contact information for practice:
1203 W ALEXANDER RD APT 5  VALLEY GROVE, WV 26060-8093 US
Tel: 304-280-7191  Fax: --

Contact information for business:
1203 W ALEXANDER RD APT 5  VALLEY GROVE, WV 26060-8093 US
Tel: --  Fax: --

Registration Information:
NPI: 1013489525
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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