Individual
LYDIA GRUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, LMT
Contact information
Practice address
1217 14TH AVE, BLOOMER, WI 54724-1695
(715) 933-4784
Mailing address
18450 54TH AVE, CHIPPEWA FALLS, WI 54729-8737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17506-24
WI
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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