MR. Ryan S Grove, ATC

NPI #1659365781 in Davie, Florida

Provider Information

NPI Number
1659365781
Entity Type
Individual
Name
MR. Ryan S Grove, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
ATC
Enumeration Date
Sep 5, 2005
Last Updated
Jan 12, 2015

Practice Location

Address
7500 SW 30TH ST
City
Davie
State
Florida
ZIP Code
33314-1020
Phone
(954) 452-7008

Specialties & Taxonomy Codes

Specialty
Specialist

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