EDGAR GROTEFEND

WYLIE, TX
NPI1457832024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2018-08-22
Last Update Date2018-08-22
Business Address
EDGAR GROTEFEND
721 S HIGHWAY 78
WYLIE, TX 75098-4004
Phone number: 972-303-8100
Mailing Address
EDGAR GROTEFEND
930 E 15TH ST APT 318
PLANO, TX 75074-5845
Phone number:
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