KEVIN CHARLES GROUSTRA

LITTLE ROCK, AR
NPI1316128499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: AR  1146)
Enumeration Date2007-11-17
Last Update Date2007-11-17
Business Address
-- KEVIN CHARLES GROUSTRA M.S.P.T.
9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR 72205-7202
Phone number: 501-202-2685
Mailing Address
-- KEVIN CHARLES GROUSTRA M.S.P.T.
9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR 72205
Phone number:
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