Edgar Grotefend

NPI #1457832024 in Wylie, Texas

Provider Information

NPI Number: 1457832024
Entity Type: Individual
Name: Edgar Grotefend
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 22, 2018
Last Updated: Aug 22, 2018

Practice Location

Address: 721 S HIGHWAY 78
City: Wylie
State: Texas
ZIP Code: 75098-4004
Phone: (972) 303-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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