Individual
JACQUELINE GROSSOEHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2448 S 102ND ST, MILWAUKEE, WI 53227-2466
(414) 329-2500
Mailing address
3535 S AUSTIN ST, MILWAUKEE, WI 53207-3372
(414) 744-8107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2625-24
WI
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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