Individual
REBECCA VAN GRINSVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
W180N8071 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 253-2700
Mailing address
4859 JACOB RD, WEST BEND, WI 53095-9182
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5544
WI
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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