Healthcare Provider Details

I. General information

NPI: 1093018905
Provider Name (Legal Business Name): DAVID MCCALL GROVES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 STURGIS ROAD
TWENTYNINE PALMS CA
92278
US

IV. Provider business mailing address

1145 STURGIS ROAD TWENTYNINE PALMS, CA 92278
TWENTYNINE PALMS CA
92278
US

V. Phone/Fax

Practice location:
  • Phone: 760-830-2140
  • Fax:
Mailing address:
  • Phone: 760-830-2140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 25826
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: