Provider Demographics
NPI:1114221520
Name:GROMLING, CHRISTINE R
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:R
Last Name:GROMLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 WEST MAIN STREET
Mailing Address - Street 2:#1
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1013 WEST MAIN STREET
Practice Address - Street 2:#1
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552
Practice Address - Country:US
Practice Address - Phone:717-367-6224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist