NPI 1134562317

Jason Louis Groff, CFOCOA

Practitioner Orthotic Fitter Gastonia, NC

Practice location

Address: 645 Cox Rd, Gastonia, NC 28054-0639
Phone: (704) 852-9823
Fax: (704) 853-1055
Mailing address: 2800 Saint Leo St, Greensboro, NC 27405-3382

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Other Orthotic Fitter providers in North Carolina →

Registry record

NPI: 1134562317
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2013
Record last updated: 3 Sep 2014

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.