Grove, Colin R

Grove, Colin R is an individual health care provider with primary practice located at 6630 University Ave Rehabilitation Clinic - Middleton Mail Code 9430, Middleton WI 53562-3036. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology is his primary health care specialty. Grove, Colin R can be contacted via phone (608) 263-8412.

Contact Information

Primary practice address
6630 University Ave Rehabilitation Clinic - Middleton Mail Code 9430 Middleton WI 53562-3036
Phone: (608) 263-8412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X PT017062 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation 225XN1300X 4776-24 Wisconsin

Profile Details

NPI number 1508870189
LBN Legal business name Grove, Colin R
Credentials PT, DPT, MS, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 9th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508870189 NPPES
Wisconsin Other 4776-24 PT NEURO REHAB

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