Kelly Lynn Groth

NPI 1720311962 - Physical Therapist - 225100000X

NPI Details
NPI 1720311962
Gender Female
Enumeration Date 09/04/2009
Last Updated 11/15/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
4245 W 14 MILE RD
ROYAL OAK MI, 48073-1501, US
Phone (248) 554-9201
Fax (248) 554-9202
Business Location
33900 HARPER AVE
SUITE 104
CLINTON TOWNSHIP MI, 48035-4258, US
Phone (586) 416-9100
Fax (586) 416-9103
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501014636
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According to our database, Kelly Lynn Groth NPI is 1720311962, taxonomy code is 225100000X and license number is 5501014636, license state is located at Michigan. Kelly Lynn Groth physically located at 4245 W 14 Mile Rd, Royal Oak MI, 48073-1501. NPI Number Kelly Lynn Groth has the Individual type.

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1720311962 NPI number is provided on an as is basis without warranty of any kind. 1720311962 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Lynn Groth are for informational purposes only.