| Doctor Name: | MARK L GROTHMANN |
| NPI Number: | 1942273271 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ATC |
| License Number: | RT000133A |
| Business Practice Address: | 450 Ellis Ln West Chester, PA - 193805123 |
| Business Phone Number: | 4842663938 |
| Business Fax Number: | |
| Mailing Address: | 307 N Chester Rd, WEST CHESTER |
| State: | PA |
| Postal Code: | 193806622 |
| Phone Number: | 6104292400 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | RT000133A |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |