Individual
MS. MADISON C GRONECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1552 MALL DRIVE, IOWA CITY, IA 52240
(319) 351-5437
(319) 351-5432
Mailing address
1552 MALL DR, IOWA CITY, IA 52240-3110
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002129
IA
225XP0200X
Pediatric Occupational Therapist
5201007929
MI
Other
Enumeration date
06/01/2011
Last updated
12/14/2011
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