| Doctor Name: | MARY R GROEN |
| NPI Number: | 1265600209 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | 1197 |
| Business Practice Address: | 19964 E Hilltop Rd Suite B Parker, CO - 801347315 |
| Business Phone Number: | 3038415594 |
| Business Fax Number: | 3038418890 |
| Mailing Address: | Po Box 217, WINDOW ROCK |
| State: | AZ |
| Postal Code: | 865150217 |
| Phone Number: | 5053715833 |
| Fax Number: | 5053715630 |
| NPI Enumeration Date: | 02/12/2008 |
| NPI Last Update Date: | 02/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |