Individual
KRISTEEN LAURA GROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1768 OAKWOOD DR, SUITE 120, SHOREVIEW, MN 55126-4939
(612) 730-8272
(866) 409-6687
Mailing address
1768 OAKWOOD DR, SUITE 120, SHOREVIEW, MN 55126-4939
(612) 730-8272
(866) 409-6687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100848
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181587
UCARE
MN
01
—
392L4BO
BCBS
MN
05
—
729440900
—
MN
Enumeration date
08/17/2006
Last updated
04/07/2017
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