Mr Colby Jon Groneman, OTR/L | |
1034 N 500 W, Provo, UT 84604-3380 | |
(801) 357-7850 | |
Not Available |
Full Name | Mr Colby Jon Groneman |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1034 N 500 W, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851891006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5923745-4201 (Utah) | Primary |
Provider Name | Integrated Clinix |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659931384 PECOS PAC ID: 0941636872 Enrollment ID: O20200212001248 |
Mailing Address | Practice Location Address |
---|---|
Mr Colby Jon Groneman, OTR/L 3759 E Cunninghill Dr, Eagle Mountain, UT 84005-6269 Ph: (801) 830-3588 | Mr Colby Jon Groneman, OTR/L 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7850 |
Darby Melesse Herrmann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Andrew Clark, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Emily Pridgeon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5314 N River Run Dr, Suite 140, Provo, UT 84604 Phone: 480-946-6571 | |
Brittany Naef, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Mr. Darin S. Mcspadden, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5314 River Run Dr Ste 140, Provo, UT 84604 Phone: 801-426-4905 | |
Katrina Leigh, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 578 W 1850 N, Provo, UT 84604 Phone: 408-340-0571 | |
Alyssa Noel Cook, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 N 500 W, Provo, UT 84604 Phone: 801-377-9661 |