Individual
MS. SARAH ANN GROTKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
531 GIDDINGS AVE, SHEBOYGAN FALLS, WI 53085-1707
(920) 550-5254
Mailing address
W55N453 LENOX PL APT 4, CEDARBURG, WI 53012-2548
(262) 377-5870
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
298-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298-19
WISCONSIN STATE LICENSE
WI
Enumeration date
02/03/2010
Last updated
07/27/2016
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