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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK LESLIE GROGAN

Active

MR. MARK LESLIE GROGAN is a Occupational Therapist healthcare provider located in MADISON, Mississippi. NPI 1811292501 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MADISON, MS

Registration Details

NPI Number
1811292501
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2011 (15.614646760774 yrs)
Last Updated
Jan 11, 2011
License
PTA4334 (MS)

Practice Information

Address
401 BAPTIST DR
SUITE 306
MADISON, MS, 391102009
Browse MS providers · Browse ZIP 39110
Phone
6016077204
Fax
6016077430
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MADISON, MS

Name Credential NPI
JENNIFER S JONES 1003177551
DALE COOPER 1023417771
CHARLES THOMAS 1730554627
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.