Autumn Grove

NPI #1033596747 in Hayden, Idaho

Provider Information

NPI Number
1033596747
Entity Type
Individual
Name
Autumn Grove
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
May 1, 2015
Last Updated
Aug 1, 2024

Practice Location

Address
8238 N GOVERNMENT WAY
City
Hayden
State
Idaho
ZIP Code
83835-5034
Phone
(208) 762-2100

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic
Physical Therapist

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