NPI 1013489525
Jeremy Alan Gross
Practice location
- Address
- 1203 W Alexander Rd APT 5, Valley Grove, WV 26060-8093
- Phone
- (304) 280-7191
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1013489525
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Dec 2018
- Record last updated
- 21 Dec 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.