Doctor Name: | MRS. LAURA MARIE GROGG |
NPI Number: | 1528280450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 008586 |
Business Practice Address: | 4392 State Route 235 Ada, OH - 458109503 |
Business Phone Number: | 4196348655 |
Business Fax Number: | 4192383612 |
Mailing Address: | 835 South Main Street, DELPHOS |
State: | OH |
Postal Code: | 458332329 |
Phone Number: | 4196923713 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 008586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |