JUSTIN GROGG

FORT WAYNE, IN
NPI1942657226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05011286A)
Enumeration Date2016-05-17
Last Update Date2021-01-15
Business Address
JUSTIN GROGG
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
Mailing Address
JUSTIN GROGG
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: