Most Relevant Information
Provider Data
| NPI Number: | 1003434192 |
| Provider Name: | JENNIFER LEE GROVE |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 1499 |
Most Important Dates
| Enumeration Date: | 07/06/2020 |
| Last Updated: | 07/06/2020 |
Provider Practice Location
1533 KNOBLEY RD
KEYSER
WV
267269262
Practice Location Phone/Fax
| Phone: | 3018767799 |
| Fax: |
Provider Mailing Location
1533 KNOBLEY RD
KEYSER
WV
267269262
Provider Mailing Phone/Fax
| Phone: | 3018767799 |
| Fax: |