| NPI | 1013992577 |
|---|---|
| Former Name | CLEON SHERRILL GROOMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501007019) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MI 5501007019) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501007019) | |
| 225100000X Physical Therapist (Licence: MI 5501007019) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: MI 5501007019) | |
| 2251N0400X Physical Therapist, Neurology (Licence: MI 5501007019) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2021-11-02 |