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AARON GROLL

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1083488951
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1800 FLANDRO DR STE 190, POCATELLO, ID, 832024940
Phone
(208) 233-2248

Specialties & Taxonomies

Physical Therapy Assistant Primary License: ID #PTA-5581

All Addresses

MAILING

164 N 400 W

BLACKFOOT, ID, 832215635

(208) 705-7121

LOCATION

1800 FLANDRO DR STE 190

POCATELLO, ID, 832024940

(208) 233-2248