Kelly Griseta

NPI 1790974947 - Occupational Therapist - 225X00000X

NPI Details
NPI 1790974947
Gender Female
Enumeration Date 10/23/2007
Last Updated 10/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
500 S OAKWOOD RD
OSHKOSH WI, 54904-7944, US
Phone (920) 223-0424
Fax
Business Location
1570 MIDWAY PL
MENASHA WI, 54952-1165, US
Phone (920) 720-1464
Fax (920) 720-1728
Toxanomy
Taxonomy Code 225X00000X
License State Wisconsin
License Number 4288-026
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According to our database, Kelly Griseta NPI is 1790974947, taxonomy code is 225X00000X and license number is 4288-026, license state is located at Wisconsin. Kelly Griseta physically located at 500 S Oakwood Rd, Oshkosh WI, 54904-7944. NPI Number Kelly Griseta has the Individual type.

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1790974947 NPI number is provided on an as is basis without warranty of any kind. 1790974947 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Griseta are for informational purposes only.