Kaitlyn Gross

NPI #1992241871 in Belen, New Mexico

Provider Information

NPI Number: 1992241871
Entity Type: Individual
Name: Kaitlyn Gross
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 16, 2017
Last Updated: Jan 16, 2017

Practice Location

Address: 1831 CAMINO DEL LLANO
City: Belen
State: New Mexico
ZIP Code: 87002-2619
Phone: (505) 866-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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