Theresa Degroot

NPI #1578944252 in Iron Mountain, Michigan

Provider Information

NPI Number: 1578944252
Entity Type: Individual
Name: Theresa Degroot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 17, 2015
Last Updated: Jun 17, 2015

Practice Location

Address: 221 E A ST
Address 2: SUITE C
City: Iron Mountain
State: Michigan
ZIP Code: 49801-3462
Phone: (906) 779-9487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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