NPI 1750917050
Terry Gruber, BSED
Practice location
- Address
- 5699 S Fork Little Cacapon Rd, Shanks, WV 26761-9128
- Phone
- (304) 257-0240
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1750917050
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Mar 2020
- Record last updated
- 30 Dec 2024
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.