Mary Grow

NPI #1538938154 in Los Alamos, New Mexico

Provider Information

NPI Number: 1538938154
Entity Type: Individual
Name: Mary Grow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 22, 2023
Last Updated: Dec 22, 2023

Practice Location

Address: 2610 TRINITY DR STE 16
City: Los Alamos
State: New Mexico
ZIP Code: 87544-2374
Phone: (505) 551-0523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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