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Individual

CATHERINE L GRZYWACZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935
(920) 923-7940
Mailing address
421 CAMELOT DR, FOND DU LAC, WI 54935
(920) 923-7940

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2614-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40105700
WI
Enumeration date
06/14/2006
Last updated
08/10/2007
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