Shelly Gross

NPI #1740664168 in Grove, Oklahoma

Provider Information

NPI Number: 1740664168
Entity Type: Individual
Name: Shelly Gross
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 4621 US HIGHWAY 59
City: Grove
State: Oklahoma
ZIP Code: 74344-4237
Phone: (918) 314-1082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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