THOMAS GLEN GROVER

PUYALLUP, WA
NPI1902133804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  60044890)
Enumeration Date2009-11-13
Last Update Date2009-11-13
Business Address
Mr. THOMAS GLEN GROVER PTA
3850 S MERIDIAN SUITE 03
PUYALLUP, WA 98373-3701
Phone number: 253-845-9098
Mailing Address
Mr. THOMAS GLEN GROVER PTA
3220 55TH PL NE
TACOMA, WA 98422-3253
Phone number: 253-568-6748
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