Amanda Lynn Gruss, PTA

NPI #1962750281 in Peru, Indiana

Provider Information

NPI Number: 1962750281
Entity Type: Individual
Name: Amanda Lynn Gruss, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 16, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 275 W 12TH ST
City: Peru
State: Indiana
ZIP Code: 46970
Phone: (765) 475-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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