CHARLES DIETRICH GROGAN

SARASOTA, FL
NPI1285859843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA19756)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
MR. CHARLES DIETRICH GROGAN PTA
5922 CATTLEMEN LANE SUITE 100
SARASOTA, FL 34232
Phone number: 941-378-8977
Mailing Address
MR. CHARLES DIETRICH GROGAN PTA
5922 CATTLEMEN LANE SUITE 100
SARASOTA, FL 34232
Phone number: 941-378-8977