Doctor Name: | VICKIE LYNN GROOVER |
NPI Number: | 1063719680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P. T. |
License Number: | 10295 |
Business Practice Address: | 11301 Corporate Blvd Suite 101 Orlando, FL - 328178354 |
Business Phone Number: | 8778963660 |
Business Fax Number: | |
Mailing Address: | 6021 Marshall Rd, CHEYENNE |
State: | WY |
Postal Code: | 820094263 |
Phone Number: | 3076408889 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2011 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10295 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |